Organization Active NPI

Cleveland Community & Home Support Services Inc

  • Case Manager/Care Coordinator
  • Shelby, NC
National Provider Identifier
1689715047
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

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.

Verify at the official NPI Registry.