NPIMap

Organization Active NPI

E Squared Community Services

  • Community/Behavioral Health Agency
  • Wadesboro, NC
National Provider Identifier
1366749780
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-004-030 Issued in NC
Legal business name
E SQUARED COMMUNITY SERVICES
Practice address
105 N Rutherford St
Wadesboro, NC 28170-2130
Phone
(704) 994-2640
Fax
(704) 994-2624
NPI assigned
Feb 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Mrs. Emily D Leak
Title
President
Phone
(919) 218-7161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-004-030 NC Primary

Addresses

Primary practice location

105 N Rutherford St
Wadesboro, NC 28170-2130

Mailing address

5022 Isabella Cannon Dr
Raleigh, NC 27612-4804
Phone (919) 218-7161

Other identifiers 1

IdentifierTypeStateIssuer
8301695MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
E Squared Community Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

105 N Rutherford St
Wadesboro, NC 28170
Phone (704) 994-2640

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1366749780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 ISABELLA CANNON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124804",
            "telephone_number": "919-218-7161",
            "fax_number": "919-327-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N RUTHERFORD ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702130",
            "telephone_number": "704-994-2640",
            "fax_number": "704-994-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SQUARED COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "LEAK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-218-7161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-004-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301695",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.