Organization Active NPI

Specialized Services & Personnel, Inc.

  • Community/Behavioral Health Agency
  • Aberdeen, NC
National Provider Identifier
1467416735
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECIALIZED SERVICES & PERSONNEL, INC.
Practice address
301 N Sycamore St
Aberdeen, NC 28315-2823
Phone
(910) 944-8125
Fax
(910) 944-7705
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Karen Stockwell
Title
Finance Manager
Phone
(910) 944-8125

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X
TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 374700000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X MHL0563052 NC

Addresses

Primary practice location

301 N Sycamore St
Aberdeen, NC 28315-2823

Mailing address

PO Box 1356
Aberdeen, NC 28315-1356
Phone (910) 944-8125

Other identifiers 2

IdentifierTypeStateIssuer
3408733MedicaidNC
3418527MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Specialized Services Personnel Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1467416735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1356",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283151356",
            "telephone_number": "910-944-8125",
            "fax_number": "910-944-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N SYCAMORE ST",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152823",
            "telephone_number": "910-944-8125",
            "fax_number": "910-944-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SERVICES & PERSONNEL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "STOCKWELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "910-944-8125"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "NC",
            "license": "MHL0563052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408733",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418527",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.