NPIMap

Organization Active NPI

Directcare Community Base Service,LLC

  • Case Management Agency
  • Shelby, NC
National Provider Identifier
1821157439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DIRECTCARE COMMUNITY BASE SERVICE,LLC
Practice address
1455 E Marion St
Suite G
Shelby, NC 28150-4985
Phone
(704) 482-7204
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barrance Todd Roberts
Title
Operations Manager
Phone
(828) 305-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1455 E Marion St
Suite G
Shelby, NC 28150-4985

Mailing address

PO Box 261
Crouse, NC 28033-0261

National Provider Directory

National Provider Directory
Tax ID family
Directcare Community Base Servicesllc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1455 E Marion St
Ste G
Shelby, NC 28150
Phone (704) 482-7204

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821157439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "CROUSE",
            "state": "NC",
            "postal_code": "280330261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E MARION ST",
            "address_2": "SUITE G",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504985",
            "telephone_number": "704-482-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTCARE COMMUNITY BASE SERVICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BARRANCE",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "828-305-4330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.