NPIMap

Organization Active NPI

Solutions Community Support Agency, LLC

  • Community/Behavioral Health Agency
  • Mebane, NC
National Provider Identifier
1649618885
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-001-200 Issued in NC
Legal business name
SOLUTIONS COMMUNITY SUPPORT AGENCY, LLC
Practice address
115 Falcon LN
Mebane, NC 27302-9150
Phone
(919) 563-9693
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Mr. James Moir Strickland Jr.
Title
QMTD
Phone
(336) 436-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-001-200 NC Primary

Addresses

Primary practice location

115 Falcon LN
Mebane, NC 27302-9150

Mailing address

236 N Mebane St
Suite 101
Burlington, NC 27217-3966
Phone (336) 436-0074

Other identifiers 1

IdentifierTypeStateIssuer
6603770MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Solutions Community Support Agency LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

115 Falcon Ln
Mebane, NC 27302
Phone (919) 563-9693

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1649618885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N MEBANE ST",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173966",
            "telephone_number": "336-436-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FALCON LN",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029150",
            "telephone_number": "919-563-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS COMMUNITY SUPPORT AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MOIR",
        "authorized_official_title_or_position": "QMTD",
        "authorized_official_telephone_number": "336-436-0074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-001-200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603770",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.