Active NPI
Caring Support Services, LLC
- Developmentally Disabled Services Day Training Agency
- Winston Salem, NC
National Provider Identifier
1669564340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- CARING SUPPORT SERVICES, LLC
- Practice address
- 934 W 5TH St
Winston Salem, NC 27101-2520 - Phone
- (336) 761-2477
- Fax
- (336) 761-2425
- NPI assigned
- Sep 29, 2006
- 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
- Ms. Dana Alley
- Title
- Executive Director
- Phone
- (336) 761-2477
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
934 W 5TH St
Winston Salem, NC 27101-2520
Mailing address
934 W 5TH St
Winston Salem, NC 27101-2520
Phone (336) 761-2477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408264 | Medicaid | NC | |
| 8301022B | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1669564340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 W 5TH ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012520",
"telephone_number": "336-761-2477",
"fax_number": "336-761-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 W 5TH ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012520",
"telephone_number": "336-761-2477",
"fax_number": "336-761-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING SUPPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "ALLEY",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-761-2477",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408264",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301022B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.