Organization Active NPI

Faith Works Community Services, Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1356498836
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAITH WORKS COMMUNITY SERVICES, INC
Practice address
3573 Maitland Dr
Raleigh, NC 27610-1239
Phone
(252) 792-2104
Fax
(252) 792-8320
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Mr. Kennis E Wilkins
Title
Administrator
Phone
(252) 792-7855

Specialties & licenses 1

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

Addresses

Primary practice location

3573 Maitland Dr
Raleigh, NC 27610-1239

Mailing address

PO Box 1133
Williamston, NC 27892-1133
Phone (252) 792-2104

Other identifiers 1

IdentifierTypeStateIssuer
8301724BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Faith Works Community Services Inc2 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

3573 Maitland Dr
Raleigh, NC 27610
Phone (252) 792-2104

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1356498836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921133",
            "telephone_number": "252-792-2104",
            "fax_number": "252-792-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 MAITLAND DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101239",
            "telephone_number": "252-792-2104",
            "fax_number": "252-792-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH WORKS COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "KENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-792-7855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301724B",
            "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 23, 2010; 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.