United Family Support Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

UNITED FAMILY SUPPORT SERVICES

Practice address

103 Bear Garden Road
Winfall, NC 27985-0130

Phone

(252) 333-0500

Fax

(252) 465-4405

NPI assigned

Mar 12, 2007

Last updated

May 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chenay Costen

Title

Executive Director

Phone

(252) 333-0500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1710019138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BEAR GARDEN ROAD",
            "address_2": "P. O. BOX 130",
            "city": "WINFALL",
            "state": "NC",
            "postal_code": "279850130",
            "telephone_number": "252-333-0500",
            "fax_number": "252-465-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BEAR GARDEN ROAD",
            "city": "WINFALL",
            "state": "NC",
            "postal_code": "279850130",
            "telephone_number": "252-333-0500",
            "fax_number": "252-465-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "COSTEN",
        "authorized_official_first_name": "CHENAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-333-0500"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300043",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Louis Denunzio, MD
• Sandra Perry Felton
• Kimberly Parker

• Early Intervention Provider Agency in Winfall, NC
• Providers in Winfall, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.