Organization Active NPI

Joseph'S Community Support Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Kinston, NC
National Provider Identifier
1487847422
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
JOSEPH'S COMMUNITY SUPPORT SERVICES, INC.
Practice address
1501 N Queen St
Kinston, NC 28501-2944
Phone
(252) 520-2001
Fax
(252) 520-7556
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Tamaria McCollum
Title
Owner
Phone
(252) 520-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1501 N Queen St
Kinston, NC 28501-2944

Mailing address

1501 N Queen St
Kinston, NC 28501-2944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1487847422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012944",
            "telephone_number": "252-520-2001",
            "fax_number": "252-520-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH'S COMMUNITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "TAMARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-520-2001"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.