COMMUNITY CARE CENTER IND (NPI# 1043336985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043336985 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CENTER IND |
| Practice Address |
110 S Queen St Suite 118 Kinston NC 28501-4973 |
| Practice Telephone | 2522081928 |
| Practice Fax Number | 2525592055 |
| Mailing Telephone | 2522081928 |
| Mailing Fax Number | 2525592055 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ESAU ARNOLD MCMORRIS (PRESIDENT) |
| Authorized Official Telephone | 2522081928 |
| Authorized Official Credential | QMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 251S00000X | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301433 | 05 |
| Street Address |
110 S QUEEN ST SUITE 118 |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093712754 | Community Care Center Inc | Counselor | 110 S Queen St, 110 South Queen Street Suite 118, Kinston, NC 28501-4975 | 2005-07-07 |
| 1891840054 | Lyngrett Enterprises, Inc. | Community/Behavioral Health | 110 S Queen St, Suite 114, Kinston, NC 28501-4973 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922492578 | Relyco &green | Community/Behavioral Health | 807 Fields St, Kinston, NC 28501-4619 | 2015-03-21 |
| 1154667780 | Milestones Alternative Family Living Inc. | Community/Behavioral Health | 506 Laroque Ave, Kinston, NC 28501-4128 | 2012-12-31 |
| 1669726766 | Barbara's Love and Care Inc. | Community/Behavioral Health | 400 Glenwood Ave Ste 7, Kinston, NC 28501-3851 | 2012-10-29 |
| 1518216654 | Simrun Health Services Inc. | Community/Behavioral Health | 1100 Hardee Rd Ste 101b, Kinston, NC 28504-2534 | 2012-09-05 |
| 1710247077 | Precision Healthcare Services, Inc. | Community/Behavioral Health | 2902 N Heritage St, Kinston, NC 28501-1580 | 2012-05-21 |
| 1528336054 | Living Your Dream | Community/Behavioral Health | 664 Stratford Blvd, Kinston, NC 28504-9647 | 2011-12-12 |
| 1841574357 | Innovative Services | Community/Behavioral Health | 709 Plaza Blvd, Kinston, NC 28501-1515 | 2011-10-03 |
| 1083994883 | Life Works Kinston, Pllc | Community/Behavioral Health | 704c Plaza Blvd, Suite 108, Kinston, NC 28501-1657 | 2011-08-24 |
| 1740582212 | Dixon Social Interactive Services, Inc. | Community/Behavioral Health | 1202-b Vernon Avenue, Kinston, NC 28501 | 2010-12-03 |
| 1841519196 | Nova-ic, Inc. | Community/Behavioral Health | 2002 C Shackleford Road, Kinston, NC 28504-7476 | 2010-05-26 |
| Find all providers in KINSTON | ||||
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| 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.