Community Care Link of the Carolinas, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

EN0829 Issued in SC

Legal business name

COMMUNITY CARE LINK OF THE CAROLINAS, INC

Doing business as

Community Care Link

Practice address

756 Tyvola Rd
Ste 136
Charlotte, NC 28217-3588

Phone

(980) 322-7279

Fax

(866) 908-6945

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Montoya Christian Boyd, BSN,B.MSC

Title

Exective Director

Phone

(980) 322-7279

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Community Care Link Doing business as

Locations

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1518216142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 TYVOLA RD",
            "address_2": "STE 136",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173588",
            "telephone_number": "980-322-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 TYVOLA RD",
            "address_2": "STE 136",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173588",
            "telephone_number": "980-322-7279",
            "fax_number": "866-908-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE LINK OF THE CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MONTOYA",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-322-7279",
        "authorized_official_credential": "BSN,B.MSC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "EN0829",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HIV CASE MGT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Link",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Alternative Resources, Inc.
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• Community Birth Group
• Community Care Health Partners PLLC (Carolina Family Healthcare, PA)
• Community Care in Home Living Assistance
• Community Care Services, LLP
• Community Care, PLLC
• Community Clinical Services LLC
• Community Connections Family Life Center, LLC
• Community Counseling Center

• Case Management Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.