Carolina Humana Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-064-097 Issued in NC

Legal business name

CAROLINA HUMANA INC

Practice address

1008 Wilkins St
Rocky Mount, NC 27803-3822

Phone

(252) 454-0011

Fax

(252) 454-0011

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Demetrius Rayshaun Thompson, BSW

Title

Executive Director

Phone

(252) 454-0011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1508003443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WILKINS ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278033822",
            "telephone_number": "252-454-0011",
            "fax_number": "252-454-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WILKINS ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278033822",
            "telephone_number": "252-454-0011",
            "fax_number": "252-454-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HUMANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_middle_name": "RAYSHAUN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-454-0011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-064-097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evora Carlton
• Carolina Audiology Associates
• Carolina Diagnostics Inc
• Carolina East Cardiology, P.C.
• Carolina Home Health Care Services
• Carolina Nursing Services
• Carolina Otolaryngology Consultants PA
• Carolina Otolaryngology Consultants, PA
• Carolina Physical Therapy Associates, Inc
• Carolina Quickcare PA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.