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
Last updated
Mar 18, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ALPHA COMMUNITY SUPPORT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory
Tax ID family
Alpha Community Support Services LLC3 organizations share this tax ID, including this one
Part of
Alpha Community Support Services LLC

Other organizations with this tax ID 2

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

Locations

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

NPI Registry JSON

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

{
    "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": [],
    "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.