Organization Active NPI

Coordinated Health Services, Inc.

  • Community/Behavioral Health Agency
  • Elizabethtown, NC
National Provider Identifier
1730252073
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COORDINATED HEALTH SERVICES, INC.
Practice address
1107F W Broad St
Elizabethtown, NC 28337-9483
Phone
(910) 862-4009
Fax
(910) 862-6004
NPI assigned
Nov 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Robin K Enterkin, M.A.
Title
Billing Supervisor
Phone
(919) 465-0910

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1107F W Broad St
Elizabethtown, NC 28337-9483

Mailing address

1224 Copeland Oaks Dr
Morrisville, NC 27560-6614
Phone (919) 465-0910

Other identifiers 6

IdentifierTypeStateIssuer
8300383BMedicaidNC
8300383HMedicaidNC
8300383GMedicaidNC
5902939MedicaidNC
8300383SMedicaidNC
8300383MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Coordinated Health Services Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730252073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 COPELAND OAKS DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606614",
            "telephone_number": "919-465-0910",
            "fax_number": "919-465-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107F W BROAD ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379483",
            "telephone_number": "910-862-4009",
            "fax_number": "910-862-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ENTERKIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "919-465-0910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300383B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300383H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300383G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902939",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300383S",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300383",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.