Active NPI
Carolina Eastern Health Services, Inc.
- Case Management Agency
- Fayetteville, NC
National Provider Identifier
1235276015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CAROLINA EASTERN HEALTH SERVICES, INC.
- Practice address
- 111 Lamon St
Suite 214
Fayetteville, NC 28301-4957 - Phone
- (910) 323-6011
- Fax
- (910) 321-6011
- NPI assigned
- Jan 31, 2007
- 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
- Mr. Ken Zeng, MBA
- Title
- Executive Director
- Phone
- (910) 323-6011
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
111 Lamon St
Suite 214
Fayetteville, NC 28301-4957
Mailing address
1472 Beasley Rd
Benson, NC 27504-7486
Phone (910) 323-6011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409675 | Medicaid | NC | |
| 8700421 | Medicaid | NC |
Other names 1
- CAROLINA EASTERN HEALTH SVS, INC
National Provider Directory
National Provider DirectoryLocations
111 Lamon St
Ste 214
Fayetteville, NC 28301
Phone (910) 323-6011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187222400000",
"number": "1235276015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1472 BEASLEY RD",
"city": "BENSON",
"state": "NC",
"postal_code": "275047486",
"telephone_number": "910-323-6011",
"fax_number": "910-321-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LAMON ST",
"address_2": "SUITE 214",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014957",
"telephone_number": "910-323-6011",
"fax_number": "910-321-6011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA EASTERN HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2007-08-16",
"status": "A",
"authorized_official_last_name": "ZENG",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "910-323-6011",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409675",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8700421",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAROLINA EASTERN HEALTH SVS, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
- Carolina Choice LLC
- Carolina Choices of Fayetteville
- Carolina Collaborative Community Care, Inc
- Carolina Comfort Dental
- Carolina Cumberland Operator LLC
- Carolina Eye Associates Inc
- Carolina Family Chiropractic PA
- Carolina Family Home Care LLC
- Carolina Family Pharmacy ,Inc
- Carolina Family Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.