Organization Active NPI

Alpha Community Support Services, LLC

  • Community/Behavioral Health Agency
  • Laurinburg, NC
National Provider Identifier
1982928073
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALPHA COMMUNITY SUPPORT SERVICES, LLC
Practice address
415 E Church St
Laurinburg, NC 28352-3818
Phone
(910) 410-0459
Fax
(910) 410-0653
NPI assigned
Mar 18, 2010
Organization subpart
Yes
Parent organization
ALPHA COMMUNITY SUPPORT SERVICES, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Ms. Michelle Yvette Ellerbe, MA, QP
Title
Owner
Phone
(910) 410-0459

Corporate family (same tax ID) 2

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

National Provider Directory

National Provider Directory
Tax ID family
Alpha Community Support Services LLC (3 organizations share this tax ID)
Part of
Alpha Community Support Services LLC

Locations

415 E Church St
Laurinburg, NC 28352
Phone (910) 410-0459

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

415 E Church St
Laurinburg, NC 28352-3818

Mailing address

415 E Church St
Laurinburg, NC 28352-3818
Phone (910) 410-0459

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8302773MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2010.

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1982928073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E CHURCH ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523818",
            "telephone_number": "910-410-0459",
            "fax_number": "910-410-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E CHURCH ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523818",
            "telephone_number": "910-410-0459",
            "fax_number": "910-410-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA COMMUNITY SUPPORT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA COMMUNITY SUPPORT SERVICES, LLC",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "ELLERBE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-410-0459",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302773",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.