Active NPI
Community Support Service
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Greensboro, NC
National Provider Identifier
1235249285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- COMMUNITY SUPPORT SERVICE
- Practice address
- 9 Terrace Way Ste a
Greensboro, NC 27403-3667 - Phone
- (336) 855-1810
- Fax
- (336) 855-1834
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Regina Ferguson
- Title
- Executive Director
- Phone
- (336) 855-1810
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X |
Addresses
Primary practice location
9 Terrace Way Ste a
Greensboro, NC 27403-3667
Mailing address
PO Box 20933
Greensboro, NC 27420-0933
Phone (336) 855-1810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409096 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
9 Terrace Way
Ste A
Greensboro, NC 27403
Phone (336) 855-1810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1235249285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20933",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274200933",
"telephone_number": "336-855-1810",
"fax_number": "336-855-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 TERRACE WAY STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274033667",
"telephone_number": "336-855-1810",
"fax_number": "336-855-1834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY SUPPORT SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-855-1810",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409096",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.