NPIMap

Organization Active NPI

Community Empowerment Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Henderson, NC
National Provider Identifier
1487818746
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITY EMPOWERMENT SERVICES, LLC
Practice address
1775 Graham Ave
Suite 103
Henderson, NC 27536-5948
Phone
(252) 738-2461
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Tarcha Bateman
Title
Executive Director
Phone
(252) 738-2461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

1775 Graham Ave
Suite 103
Henderson, NC 27536-5948

Mailing address

1775 Graham Ave
Suite 103
Henderson, NC 27536-5948
Phone (252) 738-2461

Other identifiers 1

IdentifierTypeStateIssuer
8301868BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Empowerment Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1487818746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GRAHAM AVE",
            "address_2": "SUITE 103",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365948",
            "telephone_number": "252-738-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GRAHAM AVE",
            "address_2": "SUITE 103",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365948",
            "telephone_number": "252-738-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EMPOWERMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "TARCHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-738-2461"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301868B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.