NPIMap

Organization Active NPI

Carolina Support Services, Inc

  • Community/Behavioral Health Agency
  • Selma, NC
National Provider Identifier
1376841668
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA SUPPORT SERVICES, INC
Practice address
200 S Pollock St
Selma, NC 27576-3062
Phone
(919) 965-6770
NPI assigned
Mar 10, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Ms. Nicole Ann Grant
Title
QM/Training Director
Phone
(252) 399-4530

Specialties & licenses 1

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

Addresses

Primary practice location

200 S Pollock St
Selma, NC 27576-3062

Mailing address

200 S Pollock St
Selma, NC 27576-3062
Phone (919) 965-6770

Other identifiers 1

IdentifierTypeStateIssuer
8303206MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Support Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

200 S Pollock St
Selma, NC 27576
Phone (919) 965-0191

Practitioners & affiliated clinicians

Practitioners 6

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": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1376841668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S POLLOCK ST",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275763062",
            "telephone_number": "919-965-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S POLLOCK ST",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275763062",
            "telephone_number": "919-965-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "QM/TRAINING DIRECTOR",
        "authorized_official_telephone_number": "252-399-4530",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.