C and S Health Care Agency

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-041-823 Issued in NC

Legal business name

C AND S HEALTH CARE AGENCY

Practice address

2901 Holmes Rd
Greensboro, NC 27405-4621

Phone

(336) 837-7087

Fax

(336) 358-1699

NPI assigned

Jun 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Leverne Caldwell

Title

Ceo

Phone

(336) 837-7087

Specialties & licenses 1

Addresses

Other names 1

• Caldwell House #1 Other name

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669678983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 HOLMES RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054621",
            "telephone_number": "336-837-7087",
            "fax_number": "336-358-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 HOLMES RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054621",
            "telephone_number": "336-837-7087",
            "fax_number": "336-358-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C AND S HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEVERNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-837-7087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-041-823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell House #1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.