Capital Community Support Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAPITAL COMMUNITY SUPPORT INC

Practice address

130 N Steele St
Sanford, NC 27330-3976

Phone

(919) 777-5300

Fax

(919) 777-5305

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Aurea M Starks

Title

Administrator

Phone

(910) 583-9955

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1427295575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N STEELE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303976",
            "telephone_number": "919-777-5300",
            "fax_number": "919-777-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N STEELE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303976",
            "telephone_number": "919-777-5300",
            "fax_number": "919-777-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL COMMUNITY SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "AUREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-583-9955"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111111",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Campbell
• Tena L. Campbell
• Jacqueline Hines Cannady, LAB OWNER
• Samantha Elise Canup, M.S., CCC-SLP
• Cape Fear Valley Health Medical Group LLC (Cape Fear Valley Primary Care-Buffalo Lakes)
• Capital Community Support Inc
• Cardinal Heart & Vascular, PLLC
• Care Carriers
• Career Life and Love, Counseling & Consulting PLLC
• Carenet, Inc. (Baptist Hospital CareNet Counseling Centers)

• Community/Behavioral Health Agency in Sanford, NC
• Providers in Sanford, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.