NPIMap

Organization Active NPI

Community Alternative Housing

  • Assisted Living Facility
  • Aberdeen, NC
National Provider Identifier
1962643411
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL 026-033 Issued in NC
Legal business name
COMMUNITY ALTERNATIVE HOUSING
Practice address
101 Michael LN
Aberdeen, NC 28315-2223
Phone
(910) 944-1367
Fax
(910) 944-1572
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Wilbert Nichols Ill III
Title
Program Director
Phone
(910) 486-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL 026-033 NC Primary

Addresses

Primary practice location

101 Michael LN
Aberdeen, NC 28315-2223

Mailing address

PO Box 1721
Fayetteville, NC 28302-1721
Phone (910) 486-8989

National Provider Directory

National Provider Directory
Tax ID family
Community Alternative Housing Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1962643411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1721",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283021721",
            "telephone_number": "910-486-8989",
            "fax_number": "910-484-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MICHAEL LN",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152223",
            "telephone_number": "910-944-1367",
            "fax_number": "910-944-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ALTERNATIVE HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLS ILL",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-486-8989",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL 026-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.