NPIMap

Organization Active NPI

Comprehensive Community Care, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1972670628
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPREHENSIVE COMMUNITY CARE, INC.
Practice address
3308 Durham Chapel Hill Blvd
Suite 160
Durham, NC 27707-2694
Phone
(919) 402-0323
Fax
(919) 402-9435
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Mrs. Carolyn Batts-Gowins
Title
Director of Quality Assurance
Phone
(919) 402-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3308 Durham Chapel Hill Blvd
Suite 160
Durham, NC 27707-2694

Mailing address

3308 Durham Chapel Hill Blvd
Suite 160
Durham, NC 27707-2694
Phone (919) 402-0323

Other identifiers 1

IdentifierTypeStateIssuer
3408643MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Community Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

3308 Durham Chapel Hill Blvd
Ste 160
Durham, NC 27707
Phone (919) 402-0323

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1972670628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 DURHAM CHAPEL HILL BLVD",
            "address_2": "SUITE 160",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072694",
            "telephone_number": "919-402-0323",
            "fax_number": "919-402-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 DURHAM CHAPEL HILL BLVD",
            "address_2": "SUITE 160",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072694",
            "telephone_number": "919-402-0323",
            "fax_number": "919-402-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COMMUNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "BATTS-GOWINS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "919-402-0323",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408643",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.