NPIMap

Organization Active NPI

E Squared Community Services LLC

  • Community/Behavioral Health Agency
  • Southern Pines, NC
National Provider Identifier
1497061451
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
E SQUARED COMMUNITY SERVICES LLC
Practice address
231 W Pennsylvania Ave
Southern Pines, NC 28387-5430
Phone
(910) 814-2134
Fax
(910) 893-4731
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Emily Leak
Title
President
Phone
(919) 218-7161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

231 W Pennsylvania Ave
Southern Pines, NC 28387-5430

Mailing address

PO Box 388
Lillington, NC 27546-0388
Phone (910) 814-2134

Other identifiers 3

IdentifierTypeStateIssuer
8301695MedicaidNC
8303123MedicaidNC
8303123VMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
E Squared Community Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

231 W Pennsylvania Ave
Southern Pines, NC 28387
Phone (910) 814-2134

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1497061451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275460388",
            "telephone_number": "910-814-2134",
            "fax_number": "910-893-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W PENNSYLVANIA AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875430",
            "telephone_number": "910-814-2134",
            "fax_number": "910-893-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SQUARED COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "LEAK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-218-7161"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301695",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303123",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303123V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.