CC & a Family Services Inc #2

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-041-847 Issued in NC

Legal business name

CC & A FAMILY SERVICES INC #2

Practice address

1005 Benjamin Pkwy
Greensboro, NC 27408-7715

Phone

(336) 299-6644

Fax

(336) 464-2188

NPI assigned

Oct 30, 2007

Organization subpart

Yes

Parent organization

CC & A FAMILY SERVICES INCAs reported in NPPES

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

Authorized official

Name

Ms. Gail Coachman

Title

Owner

Phone

(336) 299-6644

Specialties & licenses 2

Addresses

Part of

CC a Family Services Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• CC & a Family Services Inc

  • Adult Care Home Facility
  • Greensboro, NC
  • NPI 1871624957
  NPPES parent name

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1689853467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BENJAMIN PKWY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087715",
            "telephone_number": "336-299-6644",
            "fax_number": "336-464-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BENJAMIN PKWY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087715",
            "telephone_number": "336-299-6644",
            "fax_number": "336-464-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC & A FAMILY SERVICES INC #2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CC & A FAMILY SERVICES INC",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "COACHMAN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-299-6644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-041-847",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Cornetto Causey, NP
• Tiah Caviness
• Joan M Cavonis, NP
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• CC & a Family Services Inc
• Janet Cecil, MSW, P-LCSW
• Cedan Medical Supplies Inc.
• Cedar Hill Physical Therapy
• Carmen Kathleen Cederholm, MSN, NNP-BC
• Vincent Anthony Cefola, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.