Community Care Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

COMMUNITY CARE CENTER

Doing business as

Med-Aid Forsyth Stokes Davie

Practice address

1900 S Hawthorne Rd
Suite 564
Winston Salem, NC 27103-3913

Phone

(336) 714-2361

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

James Turner Robinson

Title

Executive Director

Phone

(336) 760-1235

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Med-Aid Forsyth Stokes Davie Doing business as

Tax ID family

Community Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Care Center for Forsyth County

  • Community Health Clinic/Center
  • Winston Salem, NC
  • NPI 1801002290
  NPD tax ID

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1902195761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "SUITE 564",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "SUITE 564",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-714-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-760-1235"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PHARMACY PERMIT",
            "identifier": "10119",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Aid Forsyth Stokes Davie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comfortcare Med Supply Inc
• Joslyn Commodore
• Community Alternatives Inc. (Community Choices Inc)
• Community Alternatives, Inc. (Community Choices, Inc)
• Community Assisted Residential Environment LLC
• Community Care Center for Forsyth County
• Community Intervention & Educational Ser
• Community Resource Solutions, LLC
• Community Support Assistance Program
• Compassion in Care at Home (At Home Elder Care)

• Voluntary or Charitable Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.