Organization Active NPI

Communicare Behavioral Health Services

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1366677171
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNICARE BEHAVIORAL HEALTH SERVICES
Practice address
103 E Victoria CT
Suite B-1
Greenville, NC 27858-5753
Phone
(252) 321-8137
Fax
(252) 321-8103
NPI assigned
May 22, 2009
Last updated
Jul 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Mrs. Janice Moore
Title
Executive Director/Owner
Phone
(252) 321-8137

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

103 E Victoria CT
Suite B-1
Greenville, NC 27858-5753

Mailing address

103 E Victoria CT
Suite B-1
Greenville, NC 27858-5753
Phone (252) 321-8137

Other identifiers 1

IdentifierTypeStateIssuer
6006923MedicaidNC

National Provider Directory

National Provider Directory

Locations

103 E Victoria Ct
Ste B1
Greenville, NC 27858
Phone (252) 321-8137

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1366677171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E VICTORIA CT",
            "address_2": "SUITE B-1",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585753",
            "telephone_number": "252-321-8137",
            "fax_number": "252-321-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E VICTORIA CT",
            "address_2": "SUITE B-1",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585753",
            "telephone_number": "252-321-8137",
            "fax_number": "252-321-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICARE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "252-321-8137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006923",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.