NPIMap

Organization Active NPI

Comprehensive Community Care, Inc.

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1295028157
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPREHENSIVE COMMUNITY CARE, INC.
Practice address
301 S Greene St
Suite 110
Greensboro, NC 27401-2625
Phone
(336) 274-2415
Fax
(336) 274-2415
NPI assigned
May 25, 2011
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Mrs. Carolyn Batts Gowins
Title
Director of Quality Assurance
Phone
(919) 489-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

301 S Greene St
Suite 110
Greensboro, NC 27401-2625

Mailing address

301 S Greene St
Suite 110
Greensboro, NC 27401-2625
Phone (336) 274-2415

Other identifiers 1

IdentifierTypeStateIssuer
3410097MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Community Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 S Greene St
Ste 110
Greensboro, NC 27401
Phone (336) 274-2415

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1295028157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GREENE ST",
            "address_2": "SUITE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012625",
            "telephone_number": "336-274-2415",
            "fax_number": "336-274-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GREENE ST",
            "address_2": "SUITE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012625",
            "telephone_number": "336-274-2415",
            "fax_number": "336-274-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COMMUNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "BATTS GOWINS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "919-489-4202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410097",
            "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 May 25, 2011; 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.