Organization Active NPI

Carolina Eastern Health Services, Inc.

  • Case Management Agency
  • Fayetteville, NC
National Provider Identifier
1235276015
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Aug 16, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3409675MedicaidNC
8700421MedicaidNC

Other names 1

  • CAROLINA EASTERN HEALTH SVS, INC Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.