Organization Active NPI

Community Enrichment Services, LLC.

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1598068058
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
104312 Issued in NC
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

Updated by the provider on Dec 6, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8302357MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Community Enrichment Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.