Carolina Community Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA COMMUNITY BEHAVIORAL SERVICES LLC

Practice address

2216 W Meadowview Rd Ste 109
Greensboro, NC 27407-3401

Phone

(704) 994-2555

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Kristine Crosby

Title

Owner

Phone

(704) 994-2555

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1821536699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 W MEADOWVIEW RD STE 109",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073401",
            "telephone_number": "704-994-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 W MEADOWVIEW RD STE 109",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073401",
            "telephone_number": "704-994-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2216 W Meadowview Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274073401",
            "country_code": "US",
            "telephone_number": "336-763-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA COMMUNITY BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-994-2555"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821536699",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Bone & Joint PA
• Carolina Care, LLC
• Carolina Child Psychiatric Services, PA
• Carolina Children'S Eye Care, PA
• Carolina Chiropractic Center P a
• Carolina Community Consultants, PLLC
• Carolina Dermatology Center
• Carolina Diagnostic Corporation
• Carolina Diagnostics, Inc
• Carolina Eye Associates Inc

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.