Success for Living Support Services,

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

HC2399 Issued in NC

Legal business name

SUCCESS FOR LIVING SUPPORT SERVICES,

Practice address

806 S Tarboro St
Suite B-19
Wilson, NC 27893-3880

Phone

(252) 243-3290

Fax

(252) 243-3290

NPI assigned

Mar 27, 2007

Last updated

Apr 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine B Carter

Title

Administrator/Ceo

Phone

(252) 243-3290

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Success For Living Support Services Former legal business name

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1609995380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1351",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275891351",
            "telephone_number": "252-243-3290",
            "fax_number": "252-243-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S TARBORO ST",
            "address_2": "SUITE B-19",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933880",
            "telephone_number": "252-243-3290",
            "fax_number": "252-243-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS FOR LIVING SUPPORT SERVICES,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "252-243-3290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC2399",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC2399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601025",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601760",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409617",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success For Living Support Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Personal Care Attendant in Wilson, NC
• Providers in Wilson, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.