NPIMap

Organization Active NPI

Comserv,Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Taylorsville, NC
National Provider Identifier
1427180546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
COMSERV,INC.
Practice address
4161 NC Highway 127
Taylorsville, NC 28681-6608
Phone
(828) 632-0263
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Dawn Kelley
Title
Ceo
Phone
(828) 757-0209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

4161 NC Highway 127
Taylorsville, NC 28681-6608

Mailing address

619 Pennton Ave SW
Lenoir, NC 28645-5743
Phone (828) 757-0209

Other identifiers 1

IdentifierTypeStateIssuer
340600AMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Comserv Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

4161 NC Highway 127
Taylorsville, NC 28681
Phone (828) 632-0263

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427180546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PENNTON AVE SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455743",
            "telephone_number": "828-757-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 NC HIGHWAY 127",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816608",
            "telephone_number": "828-632-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMSERV,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-757-0209",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340600A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.