NPIMap

Organization Active NPI

Aspirations and Miracles Community Support, LLC

  • Community/Behavioral Health Agency
  • Rocky Mount, NC
National Provider Identifier
1376844639
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASPIRATIONS AND MIRACLES COMMUNITY SUPPORT, LLC
Practice address
1621 Eastern Ave
Rocky Mount, NC 27801-6274
Phone
(252) 442-0011
Fax
(252) 442-0013
NPI assigned
Nov 3, 2010
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Mrs. Carolyn Byrd Western, BS, CSAC
Title
Chief Executive Officer
Phone
(252) 442-0011

Specialties & licenses 2

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

Addresses

Primary practice location

1621 Eastern Ave
Rocky Mount, NC 27801-6274

Mailing address

PO Box 1311
Rocky Mount, NC 27802-1311
Phone (252) 442-0011

Other identifiers 5

IdentifierTypeStateIssuer
6006671MedicaidNC
8302927MedicaidNC
8301968MedicaidNC
8302942MedicaidNC
8302986MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Aspirations and Miracles Community Support 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.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1376844639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278021311",
            "telephone_number": "252-442-0011",
            "fax_number": "252-442-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 EASTERN AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016274",
            "telephone_number": "252-442-0011",
            "fax_number": "252-442-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRATIONS AND MIRACLES COMMUNITY SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "WESTERN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "BYRD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "252-442-0011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, CSAC"
    },
    "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": "6006671",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302927",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301968",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302942",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302986",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.