Active NPI
Specialized Services & Personnel, Inc.
- Community/Behavioral Health Agency
- Aberdeen, NC
National Provider Identifier
1467416735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Technician | 374700000X | |||
| Attendant Care Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408733 | Medicaid | NC | |
| 3418527 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Specialized Services Personnel Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Personal Care Attendant
- Aberdeen, NC
- NPI 1497918023
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.