NPIMap

Organization Active NPI

Carolina Comprehensive Services, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1508992074
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA COMPREHENSIVE SERVICES, LLC
Practice address
312 W Millbrook Rd
Suite 137
Raleigh, NC 27609-4389
Phone
(919) 847-0550
Fax
(919) 847-0599
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Ms. Mondah Tiangai Parkinson
Title
Owner,Clinical Director
Phone
(704) 507-7674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

312 W Millbrook Rd
Suite 137
Raleigh, NC 27609-4389

Mailing address

312 W Millbrook Rd
Suite 137
Raleigh, NC 27609-4389
Phone (919) 847-0550

Other identifiers 2

IdentifierTypeStateIssuer
8301511MedicaidNC
8301571MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Comprehensive 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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1508992074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W MILLBROOK RD",
            "address_2": "SUITE 137",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094389",
            "telephone_number": "919-847-0550",
            "fax_number": "919-847-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W MILLBROOK RD",
            "address_2": "SUITE 137",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094389",
            "telephone_number": "919-847-0550",
            "fax_number": "919-847-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMPREHENSIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "MONDAH",
        "authorized_official_middle_name": "TIANGAI",
        "authorized_official_title_or_position": "OWNER,CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-507-7674",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301511",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301571",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.