Organization Active NPI

Saguaro Group LLC

Doing business as Community Innovations Inc.

  • Psychiatry Physician
  • Fayetteville, NC
National Provider Identifier
1609154509
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SAGUARO GROUP LLC
Doing business as
Community Innovations Inc.
Practice address
2800 Breezewood Drive
Ste 100
Fayetteville, NC 28303-5282
Phone
(910) 483-8213
Fax
(910) 483-8214
NPI assigned
Jul 26, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Harold E Jones Jr.
Title
Member MGS
Phone
(919) 256-0824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NC Primary

Addresses

Primary practice location

2800 Breezewood Drive
Ste 100
Fayetteville, NC 28303-5282

Mailing address

3210 Fairhill Dr
Raleigh, NC 27612-3215
Phone (919) 256-0824

Other names 1

  • Community Innovations Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2800 Breezewood Ave
#100
Fayetteville, NC 28303
Phone (919) 483-8213

2800 Breezewood Ave
Ste 100
Fayetteville, NC 28303
Phone (910) 323-9816

725 Highland Ave
#2
Winston Salem, NC 27101
Phone (336) 607-8501

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1609154509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 FAIRHILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123215",
            "telephone_number": "919-256-0824",
            "fax_number": "919-256-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BREEZEWOOD DRIVE",
            "address_2": "STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035282",
            "telephone_number": "910-483-8213",
            "fax_number": "910-483-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER MGS",
        "authorized_official_telephone_number": "919-256-0824",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Innovations Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.