Organization Active NPI

Multi Care Services, Inc

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1417036682
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003757 Issued in NC
Legal business name
MULTI CARE SERVICES, INC
Practice address
306 S Columbia St
Gastonia, NC 28054-0450
Phone
(704) 861-8011
Fax
(704) 861-8086
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mr. Ernest Rushing, QSAP, QDDP, QMHP
Title
Consultant
Phone
(704) 861-8011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C003757 NC Primary

Addresses

Primary practice location

306 S Columbia St
Gastonia, NC 28054-0450

Mailing address

306 S Columbia St
Gastonia, NC 28054-0450
Phone (704) 861-8011

Other identifiers 6

IdentifierTypeStateIssuer
6006023MedicaidNC
8300622GMedicaidNC
8300622BMedicaidNC
8300622HMedicaidNC
8300622MedicaidNC
3418183MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1417036682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S COLUMBIA ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540450",
            "telephone_number": "704-861-8011",
            "fax_number": "704-861-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S COLUMBIA ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540450",
            "telephone_number": "704-861-8011",
            "fax_number": "704-861-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "704-861-8011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QSAP, QDDP, QMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006023",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300622G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300622B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300622H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300622",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418183",
            "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 5, 2007; 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.