NPIMap

Organization Active NPI

Premier Service of Carolina Inc

  • Community/Behavioral Health Agency
  • Albemarle, NC
National Provider Identifier
1760929848
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PREMIER SERVICE OF CAROLINA INC
Practice address
109 Penny St
Albemarle, NC 28001-2803
Phone
(704) 985-1189
Fax
(704) 985-0106
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Warner Leak
Title
Ceo
Phone
(704) 985-1189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

109 Penny St
Albemarle, NC 28001-2803

Mailing address

108 Penny St
Albemarle, NC 28001-2804
Phone (704) 985-1189

National Provider Directory

National Provider Directory
Tax ID family
Premier Service of Carolina Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

108 Penny St
Albemarle, NC 28001

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1760929848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PENNY ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012804",
            "telephone_number": "704-985-1189",
            "fax_number": "704-985-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PENNY ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012803",
            "telephone_number": "704-985-1189",
            "fax_number": "704-985-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SERVICE OF CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "LEAK",
        "authorized_official_first_name": "WARNER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-985-1189"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.