Active NPI
Cleveland Community & Home Support Services Inc
- Case Manager/Care Coordinator
- Shelby, NC
National Provider Identifier
1689715047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- CLEVELAND COMMUNITY & HOME SUPPORT SERVICES INC
- Practice address
- 222 N Lafayette St Ste 2
Shelby, NC 28150-4450 - Phone
- (704) 471-9755
- Fax
- (704) 480-7040
- NPI assigned
- Feb 9, 2007
- 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. Dawn Earwood Beck, QDDP QMHP
- Title
- Supervisor
- Phone
- (704) 471-9755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
222 N Lafayette St Ste 2
Shelby, NC 28150-4450
Mailing address
222 N Lafayette St Ste 2
Shelby, NC 28150-4450
Phone (704) 471-9755
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900346612 | Medicaid | NC | |
| 246294416 | Medicaid | NC | |
| 238253841 | Medicaid | NC | |
| 900462874 | Medicaid | NC | |
| 946025281 | Medicaid | NC | |
| 901258781 | Medicaid | NC | |
| 901273064 | Medicaid | NC | |
| 901245831 | Medicaid | NC | |
| 901259978 | Medicaid | NC | |
| 947067591 | Medicaid | NC | |
| 178566980 | Medicaid | NC | |
| 241179903 | Medicaid | NC | |
| 900156398 | Medicaid | NC | |
| 946667101 | Medicaid | NC | |
| 245259258 | Medicaid | NC | |
| 901263289 | Medicaid | NC | |
| 947956146 | Medicaid | NC | |
| 901259666 | Medicaid | NC | |
| 946851910 | Medicaid | NC | |
| 948100274 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
222 N Lafayette St
Ste 2
Shelby, NC 28150
Phone (704) 419-2186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365465600000",
"number": "1689715047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N LAFAYETTE ST STE 2",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504450",
"telephone_number": "704-471-9755",
"fax_number": "704-480-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N LAFAYETTE ST STE 2",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504450",
"telephone_number": "704-471-9755",
"fax_number": "704-480-7040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND COMMUNITY & HOME SUPPORT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2013-04-09",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "EARWOOD",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "704-471-9755",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "QDDP QMHP"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900346612",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "246294416",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "238253841",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900462874",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "946025281",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "901258781",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "901273064",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "901245831",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "901259978",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "947067591",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178566980",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241179903",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900156398",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "946667101",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245259258",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "901263289",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "947956146",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "901259666",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "946851910",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "948100274",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
- Carolyn K Clatfelter, MA LPC
- John William Claytor Jr., D.D.S.
- Cleco Primary Care Network
- Cleco Primary Care Network
- Cleveland Ambulatory Services, LLC
- Cleveland Compounding Inc
- Cleveland Counseling, P.C.
- Cleveland County Family Young Men'S Christian Association, Inc.
- Cleveland County Healthcare System
- Cleveland County Healthcare System
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.