NPIMap

Organization Active NPI

Advance Empowerment Community Services, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1982903662
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
53062926472 Issued in NC
Legal business name
ADVANCE EMPOWERMENT COMMUNITY SERVICES, LLC
Practice address
5870 Faringdon PL
Raleigh, NC 27609-3931
Phone
(919) 873-2490
Fax
(919) 872-4835
NPI assigned
Mar 21, 2011
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Mrs. Lettice Annette Midgette
Title
Executive Director
Phone
(919) 434-4735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 53062926472 NC Primary

Addresses

Primary practice location

5870 Faringdon PL
Raleigh, NC 27609-3931

Mailing address

5870 Faringdon PL
Raleigh, NC 27609-3931
Phone (919) 873-2490

Other identifiers 1

IdentifierTypeStateIssuer
6008414MedicaidNC

National Provider Directory

National Provider Directory

Locations

5870 Faringdon Pl
Raleigh, NC 27609
Phone (919) 873-2490

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1982903662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 FARINGDON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093931",
            "telephone_number": "919-873-2490",
            "fax_number": "919-872-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 FARINGDON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093931",
            "telephone_number": "919-873-2490",
            "fax_number": "919-872-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE EMPOWERMENT COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "MIDGETTE",
        "authorized_official_first_name": "LETTICE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-434-4735",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "53062926472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008414",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.