Community-Based Developmental Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY-BASED DEVELOPMENTAL SERVICES, INC.

Practice address

3274 Rosehill Rd
Suite 2
Fayetteville, NC 28301-3005

Phone

(910) 488-5820

Fax

(910) 488-5837

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia B. Billops

Title

Executive Director

Phone

(910) 488-4584

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Carroll

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1811443187
  NPD
• Valerie Maxine Coleman, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1255647624
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1306121645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 SLATER AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014042",
            "telephone_number": "910-488-4584",
            "fax_number": "910-630-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 ROSEHILL RD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013005",
            "telephone_number": "910-488-5820",
            "fax_number": "910-488-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY-BASED DEVELOPMENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "BILLOPS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-488-4584",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008180",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Helps Network Fayetteville
• Community Residential Supportive Service Home Health Inc (CRSS Home Health Inc)
• Community Resource Solutions, LLC
• Community Support Transportation, LLC
• Community Transition Services, LLC
• Community-Based Developmental Services, Inc.
• Companions II of North Carolina
• Companions II of North Carolina
• Companions II of North Carolina
• Compassionate Home of Wellness LLC

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.