Community Outreach Enrichment Center Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

76000398 Issued in NC

Legal business name

COMMUNITY OUTREACH ENRICHMENT CENTER INC.

Practice address

329 Brady Street Ext
Ramseur, NC 27316-8703

Phone

(336) 824-2595

NPI assigned

Aug 15, 2011

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Holly Annette Gray

Title

Administator

Phone

(336) 824-2595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holly's Community Outreach care Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1215216700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1153",
            "address_2": "329 BRADY STREET EXT.",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "27316",
            "telephone_number": "336-824-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BRADY STREET EXT",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "273168703",
            "telephone_number": "336-824-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OUTREACH ENRICHMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "336-824-2595",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "76000398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200564",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly's Community Outreach care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mary Elizabeth Bardin, MS, CCC-SLP
• Anthony Eugene Biancardi, D.D.S.
• Korby Charlene Brown
• Castor Dental Group
• Amanda Chils, LCMHC
• Creative Pathways Integrated Healthcare, LLC
• Five Points Medical Center Inc (Five Points Medical of Ramseur)
• Gestalt Therapy PLLC
• Heaven Sent Private Care LLC
• Home Sweet Home Care Services, LLC

• Community/Behavioral Health Agency in Ramseur, NC
• Providers in Ramseur, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.