Organization Active NPI

Carolina Enhancement Services LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
National Provider Identifier
1295167625
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA ENHANCEMENT SERVICES LLC
Practice address
2602 Eric LN Ste E1
Burlington, NC 27215-5591
Phone
(336) 270-8005
Fax
(336) 270-3012
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Mr. Adrian Funchess, B.S.
Title
Chief Executive Manager
Phone
(336) 501-8643

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2602 Eric LN Ste E1
Burlington, NC 27215-5591

Mailing address

2602 Eric LN Ste E1
Burlington, NC 27215-5591
Phone (336) 270-8005

Other practice location 1

154 Huffman Mill Rd Ste E1
Burlington, NC 27215-5113
Phone (336) 270-8005

Other practice location 2

339 Wall St
Yanceyville, NC 27379-9382
Phone (336) 694-1557

National Provider Directory

National Provider Directory

Locations

2602 Eric Ln
Ste E1
Burlington, NC 27215
Phone (336) 270-8005

154 Huffman Mill Rd
Ste 103
Burlington, NC 27215

154 Huffman Mill Rd
Ste E1
Burlington, NC 27215
Phone (336) 270-8005

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1295167625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 ERIC LN STE E1",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155591",
            "telephone_number": "336-270-8005",
            "fax_number": "336-270-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 ERIC LN STE E1",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155591",
            "telephone_number": "336-270-8005",
            "fax_number": "336-270-3012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Huffman Mill Rd Ste E1",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155113",
            "country_code": "US",
            "telephone_number": "336-270-8005",
            "fax_number": "336-270-3012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 Wall St",
            "address_purpose": "LOCATION",
            "city": "Yanceyville",
            "state": "NC",
            "postal_code": "273799382",
            "country_code": "US",
            "telephone_number": "336-694-1557",
            "fax_number": "336-694-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA ENHANCEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "FUNCHESS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "336-501-8643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.