Active NPI
Diversified Community Services
- Case Management Agency
- Kings Mountain, NC
National Provider Identifier
1508050402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- DIVERSIFIED COMMUNITY SERVICES
- Practice address
- 301 S Battleground Ave
Kings Mountain, NC 28086-3601 - Phone
- (704) 739-3997
- Fax
- (704) 739-6420
- NPI assigned
- Sep 4, 2007
- 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
- Ms. Josephine Dogan, BSW
- Title
- Owner
- Phone
- (803) 448-8417
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
301 S Battleground Ave
Kings Mountain, NC 28086-3601
Mailing address
PO Box 1593
Kings Mountain, NC 28086-1593
Phone (704) 739-3997
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188864000000",
"number": "1508050402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1593",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280861593",
"telephone_number": "704-739-3997",
"fax_number": "704-739-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S BATTLEGROUND AVE",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863601",
"telephone_number": "704-739-3997",
"fax_number": "704-739-6420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSIFIED COMMUNITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A",
"authorized_official_last_name": "DOGAN",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-448-8417",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.