Organization Active NPI

Alliance of AIDS Services - Carolina, Inc

  • Custodial Care Facility
  • Raleigh, NC
National Provider Identifier
1316082274
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
FCL068016 Issued in NC
Legal business name
ALLIANCE OF AIDS SERVICES - CAROLINA, INC
Practice address
324 S Harrington St
Suite 101
Raleigh, NC 27603-1847
Phone
(919) 834-2437
Fax
(919) 834-3404
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Jacquelyn M Clymore, MS
Title
Executive Director
Phone
(919) 834-2437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X FCL068016 NC Primary
Adult Care Home Facility 311ZA0620X FCL092014 NC

Addresses

Primary practice location

324 S Harrington St
Suite 101
Raleigh, NC 27603-1847

Mailing address

PO Box 12583
Raleigh, NC 27605-2583
Phone (919) 834-2437

Other identifiers 2

IdentifierTypeStateIssuer
7805513MedicaidNC
7801135MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Aas-C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

324 S Harrington St
Ste 101
Raleigh, NC 27603
Phone (919) 834-2437

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316082274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12583",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276052583",
            "telephone_number": "919-834-2437",
            "fax_number": "919-834-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S HARRINGTON ST",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031847",
            "telephone_number": "919-834-2437",
            "fax_number": "919-834-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE OF AIDS SERVICES - CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLYMORE",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-834-2437",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL068016",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL092014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805513",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.