NPIMap

Organization Active NPI

Brothers Community Resources

  • Community/Behavioral Health Agency
  • Creedmoor, NC
National Provider Identifier
1922510585
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROTHERS COMMUNITY RESOURCES
Practice address
2556 Mint Julep Dr
Creedmoor, NC 27522-7817
Phone
(919) 609-8160
Fax
(919) 609-8160
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Mrs. Alethea S Marcellus, MS,PSYCH, ACAS, ITFSNPI 1477044659
Title
Developmental Therapist
Phone
(919) 609-8160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2556 Mint Julep Dr
Creedmoor, NC 27522-7817

Mailing address

2556 Mint Julep Dr
Creedmoor, NC 27522-7817
Phone (919) 609-8160

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1922510585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 MINT JULEP DR",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227817",
            "telephone_number": "919-609-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 MINT JULEP DR",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227817",
            "telephone_number": "919-609-8160",
            "fax_number": "919-609-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS COMMUNITY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "MARCELLUS",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "919-609-8160",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,PSYCH, ACAS, ITFS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.