NC Community Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NC COMMUNITY CARE SERVICES INC

Practice address

555 Fayetteville Street
Ste. 201
Raleigh, NC 27601

Phone

(919) 584-8333

Fax

(919) 584-8337

NPI assigned

Mar 8, 2017

Last updated

Mar 24, 2017By 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

Rhonda Ann CrockettNPI 1487213930

Title

Ceo

Phone

(404) 719-9549

Specialties & licenses 6

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rhonda A Crockett

  • Peer Specialist
  • Peachtree City, GA
  • NPI 1487213930
  Authorized official Same address or phone

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1902346067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FAYETTEVILLE STREET",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27601",
            "telephone_number": "919-584-8333",
            "fax_number": "919-584-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FAYETTEVILLE STREET",
            "address_2": "STE. 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27601",
            "telephone_number": "919-584-8333",
            "fax_number": "919-584-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC COMMUNITY CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-719-9549"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123654789",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NC Department of Health and Human Services, Division of Public Health
• NC Department of Public Instruction (Office of Early Learning)
• NC Dept of Health and Human Service (North Carolina State Laboratory of Public Health)
• NC Dept of Health and Human Service/DVRS (NC Assistive Technology Program)

• Home Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.