CAROLINA OUTREACH, LLC


Address: 139 N Center St, Goldsboro, NC 27530-3620
Phone: 9197344440

CAROLINA OUTREACH, LLC (NPI# 1013340173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013340173
Entity Type Organization
Organization Name CAROLINA OUTREACH, LLC
Practice Address 139 N Center St
Goldsboro
NC 27530-3620
Practice Telephone 9197344440
Mailing Telephone 9197344440
Enumeration Date 2013-08-13
Last Update Date 2013-08-13
Authorized Official Name TIMOTHY H. BROOKS (DIRECTOR)
Authorized Official Telephone 9192519001
Authorized Official Credential MSW, LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 3410049 NC Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134684392 Carolina Outreach, LLC Community/Behavioral Health 324 Person St, Fayetteville, NC 28301-5736 2019-02-01
1669858510 Carolina Outreach, LLC Community/Behavioral Health 5108 Reagan Dr Ste 13&14, Charlotte, NC 28206-3103 2015-08-03
1922431089 Carolina Outreach, LLC Community/Behavioral Health 112 E Park Dr, Beulaville, NC 28518-6916 2013-08-13
1902239130 Carolina Outreach, LLC Community/Behavioral Health 608 Nash St Ne, Wilson, NC 27893-3045 2013-08-12
1124582432 Carolina Outreach, LLC Community/Behavioral Health 2000 Yonkers Rd, Raleigh, NC 27604-2258 2019-01-31
1679956601 Carolina Outreach, LLC Community/Behavioral Health 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 2015-07-08
1063802718 Carolina Outreach, LLC Clinical Medical Laboratory 911 Hay St, Fayetteville, NC 28305-5313 2015-02-03
1427456524 Carolina Outreach, LLC Clinical Medical Laboratory 3012 Falstaff Rd, Raleigh, NC 27610-1813 2014-12-05
1043625353 Carolina Outreach, LLC Clinical Medical Laboratory 2670 Durham Chapel Hill Blvd, Durham, NC 27707 2014-06-25
1285054692 Carolina Outreach, LLC Community/Behavioral Health 831 S Brightleaf Blvd, Smithfield, NC 27577 2014-04-24

Office Location

Street Address 139 N CENTER ST
City GOLDSBORO
State NC
Zip Code 27530-3620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639580251 Karen Lively Counselor 139 N Center St, Goldsboro, NC 27530-3620 2014-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831689777 A Fathers' Love Family Care Inc Home Health 213 N. Carolina St., Goldsboro, NC 27530 2018-05-16
1609274687 Tiffany Leanne Farmer Counselor 1184 Us Hwy 13 South, Goldsboro, NC 27530 2014-12-08
1316369952 Angela Brittingham Counselor 113 Sanderling Way, Goldsboro, NC 27530 2014-01-16
1831408996 At Home Senior Services, Inc. Home Health 203 N. Jackson Street Office C, Goldsboro, NC 27530 2010-10-06
1699946301 Professional Group Living,llc Community/Behavioral Health 122 S. Center Street, Goldsboro, NC 27530 2008-03-20
1225250814 Asa Living, Inc Clinic/Center 1308 Ben Brewington Court, Goldsboro, NC 27530 2007-05-03
1790907368 Tammy Jo Hood Licensed Practical Nurse 1700 East Ash Street St. 200, Goldsboro, NC 27530 2007-05-03
1558487421 Alternative Care Treatments Systems, Inc Community/Behavioral Health 139-b Center Street, Goldsboro, NC 27530 2007-03-22
1831221050 Matthew Gay Delbridge Dentist 206 West Ash St, Goldsboro, NC 27530 2007-03-12
1508998295 Emeritus Corporation Assisted Living Facility 380 County Day Road, Goldsboro, NC 27530 2007-03-09
Find all providers in zip 27530

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962040782 Monarch Community/Behavioral Health 2717 Isaac Dr, Goldsboro, NC 27530-8120 2019-12-11
1659837383 Building Healthy Minds, LLC Community/Behavioral Health 515 N George St, Goldsboro, NC 27530-2724 2019-02-19
1588027833 Kaleo Supports, Inc. Community/Behavioral Health 300 Autumn Winds Dr, Goldsboro, NC 27530-2506 2016-04-04
1538589593 Uloanda Parham Community/Behavioral Health 608 N Madison Ave, Goldsboro, NC 27530-3100 2014-04-17
1619242518 Carolina Residential Services, Inc. Community/Behavioral Health 714 Simmons St, Goldsboro, NC 27530-3843 2012-03-12
1326342460 Laychris Group, Inc Community/Behavioral Health 206 W Ash St Ste 2, Goldsboro, NC 27530-3663 2011-01-04
1750684015 Nova-ic, Inc. Community/Behavioral Health 1216 North Dr, Goldsboro, NC 27534-1858 2010-12-08
1831490002 Family Connections of Goldsboro, LLC Community/Behavioral Health 701 E Ash St, Goldsboro, NC 27530-3801 2010-11-04
1629387220 Bridges of Hope Inc Community/Behavioral Health 201 W Ash St Ste 1, Goldsboro, NC 27530-3665 2010-09-29
1043547276 Progressive Healthcare & Counseling Services Inc. Community/Behavioral Health 217 N George St, Goldsboro, NC 27530-3626 2009-11-09
Find all providers in GOLDSBORO

Competitor

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City GOLDSBORO
Zip Code 27530

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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