NPIMap

Organization Active NPI

Holistic Services Inc.

  • Case Management Agency
  • Lumberton, NC
National Provider Identifier
1710252879
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HOLISTIC SERVICES INC.
Practice address
2003 Godwin Ave Ste C
Lumberton, NC 28358-3150
Phone
(910) 739-2477
Fax
(910) 739-2478
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mrs. Carolyn Floyd Robinson, LCAS
Title
Clinical Director
Phone
(910) 739-2477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2003 Godwin Ave Ste C
Lumberton, NC 28358-3150

Mailing address

2003 Godwin Ave Ste C
Lumberton, NC 28358-3150
Phone (910) 739-2477

Other identifiers 2

IdentifierTypeStateIssuer
8702449MedicaidNC
8303156MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Holistic Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1710252879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583150",
            "telephone_number": "910-739-2477",
            "fax_number": "910-739-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583150",
            "telephone_number": "910-739-2477",
            "fax_number": "910-739-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-739-2477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8702449",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303156",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.