Organization Active NPI

The Center for Creating Opportunities

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1750765624
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL034-299 Issued in NC
Legal business name
THE CENTER FOR CREATING OPPORTUNITIES
Practice address
450 W Hanes Mill Rd
Suite 105-a
Winston Salem, NC 27105-9141
Phone
(336) 767-4514
Fax
(336) 767-4312
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Latonya Jones
Title
Ceo
Phone
(336) 767-4514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL034-299 NC Primary

Addresses

Primary practice location

450 W Hanes Mill Rd
Suite 105-a
Winston Salem, NC 27105-9141

Mailing address

450 W Hanes Mill Rd
Suite 105-a
Winston Salem, NC 27105-9141
Phone (336) 767-4514

Other identifiers 1

IdentifierTypeStateIssuer
3419266MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
The Center for Creating Opportunities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

450 W Hanes Mill Rd
Ste 105A
Winston Salem, NC 27105
Phone (336) 767-4514

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1750765624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD",
            "address_2": "SUITE 105-A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-767-4514",
            "fax_number": "336-767-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD",
            "address_2": "SUITE 105-A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-767-4514",
            "fax_number": "336-767-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CREATING OPPORTUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-767-4514"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL034-299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419266",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.