NPIMap

Organization Active NPI

E Squared Community Services LLC

  • Community/Behavioral Health Agency
  • Dunn, NC
National Provider Identifier
1730243205
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
E SQUARED COMMUNITY SERVICES LLC
Practice address
608A W Broad St
Dunn, NC 28334-4812
Phone
(910) 891-7680
Fax
(910) 891-7682
NPI assigned
Dec 20, 2006
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Mrs. Emily Diane Leak
Title
President
Phone
(919) 218-7161

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Psychologist 103T00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

608A W Broad St
Dunn, NC 28334-4812

Mailing address

PO Box 388
Lillington, NC 27546-5830
Phone (910) 891-7680

Other identifiers 7

IdentifierTypeStateIssuer
5915537MedicaidNC
8301695BMedicaidNC
8301695MedicaidNC
8301695VMedicaidNC
6005945MedicaidNC
8301695GMedicaidNC
8301695HMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
E Squared Community Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

608 W Broad St
#A
Dunn, NC 28334
Phone (910) 292-2546

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1730243205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465830",
            "telephone_number": "910-891-7680",
            "fax_number": "910-891-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608A W BROAD ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344812",
            "telephone_number": "910-891-7680",
            "fax_number": "910-891-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SQUARED COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "LEAK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-218-7161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915537",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301695B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301695",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301695V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005945",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301695G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301695H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.