NPIMap

Organization Active NPI

Community Enhancement Services, LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1508189325
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY ENHANCEMENT SERVICES, LLC
Practice address
1108 Grecade St
Greensboro, NC 27408-8729
Phone
(336) 285-1451
Fax
(336) 378-0060
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Ms. Alycia Shaw
Title
Chief Executive Officer
Phone
(336) 285-1451

Specialties & licenses 1

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

Addresses

Primary practice location

1108 Grecade St
Greensboro, NC 27408-8729

Mailing address

1108 Grecade St
Greensboro, NC 27408-8729
Phone (336) 285-1451

Other identifiers 1

IdentifierTypeStateIssuer
8302749BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Enhancement 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": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1508189325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 GRECADE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088729",
            "telephone_number": "336-285-1451",
            "fax_number": "336-378-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 GRECADE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088729",
            "telephone_number": "336-285-1451",
            "fax_number": "336-378-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ENHANCEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ALYCIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-285-1451",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302749B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.