Carolina Access Life Line, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA ACCESS LIFE LINE, LLC

Practice address

2900 Reynolds Park Rd
Winston Salem, NC 27107-1653

Phone

(336) 408-5957

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Felicia Regina Thompkins, BSW

Title

Chief Operating Officer

Phone

(336) 408-5957

Specialties & licenses 1

Addresses

Tax ID family

Carolina Access Life Line LLC2 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.

• Carolina Access Life Line, LLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1245412220
  NPD tax ID

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1376713776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 REYNOLDS PARK RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 REYNOLDS PARK RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071653",
            "telephone_number": "336-408-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ACCESS LIFE LINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "THOMPKINS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-408-5957",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Carmack
• M. Lauren Carmichael, MA, CCC-SLP
• Michelle Carmichael
• Carol E Moore MD PLLC
• Carolina Access Life Line, LLC
• Carolina Classic Senior Care, LLC
• Carolina Counselors, PLLC
• Carolina Diagnostics, Inc.
• Carolina Eye Associates Inc (Carolina Eye Associates PA)
• Carolina Family Medicine and Dermatology

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, 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 Mar 3, 2008; 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.