Active NPI
Community Enrichment Services, LLC.
- Community/Behavioral Health Agency
- Raleigh, NC
National Provider Identifier
1598068058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 104312
- Legal business name
- COMMUNITY ENRICHMENT SERVICES, LLC.
- Practice address
- 172 Mine Lake CT
Suite 100
Raleigh, NC 27615-6417 - Phone
- (919) 848-4013
- Fax
- (919) 573-0902
- NPI assigned
- Dec 6, 2010
- 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
- Mr. Eric T Sinclair
- Title
- Coo
- Phone
- (919) 848-4013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 104312 | NC | Primary |
Addresses
Primary practice location
172 Mine Lake CT
Suite 100
Raleigh, NC 27615-6417
Mailing address
174 Mine Lake CT
Suite 100
Raleigh, NC 27615-6417
Phone (919) 848-4013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302357 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Community Enrichment Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1396906442
Locations
172 Mine Lake Ct
#100
Raleigh, NC 27615
Phone (919) 848-4013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1598068058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 MINE LAKE CT",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156417",
"telephone_number": "919-848-4013",
"fax_number": "919-573-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 MINE LAKE CT",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156417",
"telephone_number": "919-848-4013",
"fax_number": "919-573-0902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY ENRICHMENT SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-06",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "SINCLAIR",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "919-848-4013",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "104312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302357",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Communication Consultants & Associates, Inc.
- Community Adult Services, Incorporated
- Community Care Specialists & Urgent Care LLC
- Community Connections Healthcare Services, LLC
- Community Enrichment Services, LLC
- Community First Clinical Research, LLC
- Community Health and Wellness Center, PLLC
- Community Innovations
- Community Innovations Inc
- Community Innovations, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.