COMPREHENSIVE COMMUNITY SERVICES, LLC (NPI# 1154551075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154551075 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE COMMUNITY SERVICES, LLC |
| Practice Address |
3110 Cameron Dr Sanford NC 27332-9605 |
| Practice Telephone | 9198951179 |
| Mailing Telephone | 9198951179 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | MS. MARIE SMITH ANDRUS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9198951179 |
| Authorized Official Credential | P-LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | P003527 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588163695 | Comprehensive Community Services, LLC | Community Health Worker | 3925 Grand Isle Dr, Chesapeake, VA 23323-2322 | 2018-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Comprehensive Community Services, LLC | 3110 Cameron Drive , Sanford, NC 27330 |
| Virginia Business Entity | Comprehensive Community Services, LLC | 3925 Grand Isle Drive , Chesapeake, VA 23323 |
| Street Address |
3110 CAMERON DR |
| City | SANFORD |
| State | NC |
| Zip Code | 27332-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255519088 | Deborah Kivett Harris | Adult Companion | 3110 Cameron Dr, Sanford, NC 27332-9605 | 2008-02-04 |
| 1760859953 | Donald Kivett | Counselor | 3110 Cameron Dr, Sanford, NC 27332-9605 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| Find all providers in zip 27332 | ||||
| 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 |
|---|---|---|---|---|
| 1124685342 | Stoney Mae Empowerment House Florida | Community/Behavioral Health | 5724 Byron Anthony Pl Apt 146, Sanford, FL 32771-8627 | 2019-05-22 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1174959464 | Community Alternative Housing, Inc | Community/Behavioral Health | 304 S Steele St, Sanford, NC 27330-4238 | 2013-09-19 |
| 1144541731 | New Beginnings Counseling Services, Pllc | Community/Behavioral Health | 1518 S. Horner Blvd, Sanford, NC 27330-5632 | 2010-06-17 |
| 1710218201 | Monarch | Community/Behavioral Health | 214 Mciver St, Sanford, NC 27330-4343 | 2010-01-22 |
| 1053640490 | Autism Consulting Network | Community/Behavioral Health | 203 East 10th Street, Sanford, FL 32771 | 2009-12-14 |
| 1609013432 | Vc & Associates, Inc. | Community/Behavioral Health | 136 Carbonton Rd Ste B, Sanford, NC 27330-4000 | 2009-01-15 |
| 1730372525 | Baptist Children's Homes of Nc, Inc. | Community/Behavioral Health | 1091 Oaktrail Ln, Sanford, NC 27330-0989 | 2007-08-24 |
| 1245352004 | Seminole Community Mental Health Organization | Community/Behavioral Health | 919 E 2nd St, Sanford, FL 32771-2101 | 2007-04-04 |
| 1891811006 | Alternative Care Treatments Systems | Community/Behavioral Health | 2517 Watson Ave, Sanford, NC 27332-6143 | 2007-03-21 |
| Find all providers in SANFORD | ||||
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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.