NPIMap

Organization Active NPI

Central State of the Carolinas

  • Developmentally Disabled Services Day Training Agency
  • Greensboro, NC
National Provider Identifier
1871556068
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CENTRAL STATE OF THE CAROLINAS
Practice address
122 N. Elm St.
Suite 810
Greensboro, NC 27401
Phone
(336) 370-1691
Fax
(336) 370-4857
NPI assigned
Apr 10, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Mrs. Christine A. Hatfield
Title
Exec. Finance Officer
Phone
(989) 631-5754

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

122 N. Elm St.
Suite 810
Greensboro, NC 27401

Mailing address

2603 W. Wackerly St.
Suite 201
Midland, MI 48640
Phone (989) 631-5754

Other identifiers 1

IdentifierTypeStateIssuer
3408685MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Central State of the Carolinas Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1871556068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W. WACKERLY ST.",
            "address_2": "SUITE 201",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-631-5754",
            "fax_number": "989-631-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N. ELM ST.",
            "address_2": "SUITE 810",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-370-1691",
            "fax_number": "336-370-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATE OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXEC. FINANCE OFFICER",
        "authorized_official_telephone_number": "989-631-5754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408685",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.