Carolina Behavioral Support Services,Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA BEHAVIORAL SUPPORT SERVICES,INC

Practice address

7048 Knightdale Blvd
Suite 101
Knightdale, NC 27545-8894

Phone

(919) 266-3591

Fax

(919) 266-3809

NPI assigned

May 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Israel Ojimadu

Title

Ceo

Phone

(919) 266-3591

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1669732095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 KNIGHTDALE BLVD",
            "address_2": "SUITE 101",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458894",
            "telephone_number": "919-266-3591",
            "fax_number": "919-266-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 KNIGHTDALE BLVD",
            "address_2": "SUITE 101",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458894",
            "telephone_number": "919-266-3591",
            "fax_number": "919-266-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BEHAVIORAL SUPPORT SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "OJIMADU",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-266-3591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303254",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410221",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Haven Collective Care Services
• Care Innovations of North Carolina
• Carillon Assisted Living of Knightdale, LLC
• Caring Heart Home Care, LLC
• Christal Carmichael, LPCA
• Carolina Express Care
• Carolina Spine and Injury PC
• Carolina Staffing & Home Health, Co. Inc.
• Carolina Transport and Mobility LLC
• Ebony P Carpenter, M.,ED.

• Community/Behavioral Health Agency in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.