Assured Community Support Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1111111 Issued in NC

Legal business name

ASSURED COMMUNITY SUPPORT INC

Practice address

5948 Fisher Rd
102B
Fayetteville, NC 28304-5640

Phone

(910) 223-0032

Fax

(910) 223-0255

NPI assigned

Nov 6, 2009

Last updated

Nov 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audrey L Smith

Title

President

Phone

(910) 223-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1881921153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 FISHER RD",
            "address_2": "102B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045640",
            "telephone_number": "910-223-0032",
            "fax_number": "910-223-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 FISHER RD",
            "address_2": "102B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045640",
            "telephone_number": "910-223-0032",
            "fax_number": "910-223-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED COMMUNITY SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-223-0032"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1111111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111111",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fayetteville, 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 Nov 6, 2009; 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.