Active NPI
C F Marketing LLC
- Developmentally Disabled Services Day Training Agency
- Lexington, NC
National Provider Identifier
1255452876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- MHL 029 097
- Legal business name
- C F MARKETING LLC
- Practice address
- 701 S Salisbury St
Lexington, NC 27292-3245 - Phone
- (336) 236-2056
- Fax
- (336) 236-2469
- NPI assigned
- Apr 2, 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. Charles Funchess
- Title
- Ceo
- Phone
- (336) 236-2056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL 029 097 | NC | Primary |
Addresses
Primary practice location
701 S Salisbury St
Lexington, NC 27292-3245
Mailing address
1558 Old Thomasville Rd
Winston Salem, NC 27107-9290
Phone (336) 236-2056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409511 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255452876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1558 OLD THOMASVILLE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271079290",
"telephone_number": "336-236-2056",
"fax_number": "336-236-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S SALISBURY ST",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272923245",
"telephone_number": "336-236-2056",
"fax_number": "336-236-2469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C F MARKETING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FUNCHESS",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-236-2056",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": "MHL 029 097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409511",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.