Active NPI
Eve'S Community Services LLC
- Community/Behavioral Health Agency
- Gastonia, NC
National Provider Identifier
1376789396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EVE'S COMMUNITY SERVICES LLC
- Practice address
- 1566 Union Rd
Suite D-1
Gastonia, NC 28054-5301 - Phone
- (704) 867-3767
- Fax
- (704) 867-3736
- NPI assigned
- Dec 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eva L Clark
- Title
- President/Owner
- Phone
- (704) 875-6454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1566 Union Rd
Suite D-1
Gastonia, NC 28054-5301
Mailing address
14916 Northgreen Dr
Huntersville, NC 28078-2628
Phone (704) 875-6454
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302607G | Medicaid | NC | |
| 8302607B | Medicaid | NC | |
| 8302607H | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Eve'S Community Services LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1205072220
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1629302450
Locations
1566 Union Rd
Ste D1
Gastonia, NC 28054
Phone (704) 867-3767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252540800000",
"number": "1376789396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14916 NORTHGREEN DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280782628",
"telephone_number": "704-875-6454",
"fax_number": "704-875-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1566 UNION RD",
"address_2": "SUITE D-1",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545301",
"telephone_number": "704-867-3767",
"fax_number": "704-867-3736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVE'S COMMUNITY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-22",
"last_updated": "2009-09-10",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "EVA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "704-875-6454"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302607G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302607B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302607H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.