NPIMap

Organization Active NPI

Comserv, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Morganton, NC
National Provider Identifier
1457483570
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
COMSERV, INC.
Practice address
2307 Hartland Rd
Morganton, NC 28655
Phone
(828) 438-9543
NPI assigned
Mar 12, 2007
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
COMSERV, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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) 325-4926

Specialties & licenses 1

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

Addresses

Primary practice location

2307 Hartland Rd
Morganton, NC 28655

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
340603XMedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2216568Comserv, Inc2307 Hartland Road, Morganton, NC 28655Certificate of waiverMar 14, 2027

National Provider Directory

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

Other organizations with this tax ID 12

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

Locations

2307 Hartland Rd
Morganton, NC 28655
Phone (828) 438-9543

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": "1531699200000",
    "number": "1457483570",
    "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": "2307 HARTLAND RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-438-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMSERV, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMSERV, INC.",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-325-4926",
        "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": "340603X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.