NPIMap

Organization Active NPI

Central State of the Carolinas, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Greensboro, NC
National Provider Identifier
1871616623
Registry record updated Sep 14, 2007
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, INC.
Practice address
122 N Elm St
Suite 800
Greensboro, NC 27401-2878
Phone
(336) 370-1961
Fax
(336) 370-4758
NPI assigned
Apr 9, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Mrs. Debra Anne Meloy
Title
Executive Director
Phone
(336) 370-1691

Specialties & licenses 1

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

Addresses

Primary practice location

122 N Elm St
Suite 800
Greensboro, NC 27401-2878

Mailing address

122 N Elm St
Suite 800
Greensboro, NC 27401-2878
Phone (336) 370-1961

Other identifiers 1

IdentifierTypeStateIssuer
8301097MedicaidNC

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1871616623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N ELM ST",
            "address_2": "SUITE 800",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012878",
            "telephone_number": "336-370-1961",
            "fax_number": "336-370-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N ELM ST",
            "address_2": "SUITE 800",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012878",
            "telephone_number": "336-370-1961",
            "fax_number": "336-370-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATE OF THE CAROLINAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "MELOY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-370-1691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301097",
            "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 Sep 14, 2007; 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.