Csp Cabha Provider

LBN: Community Support Professionals,Llc
Csp Cabha Provider is an health care organization with primary practice located at 1606 Wellington Ave Unit C , Wilmington NC 28401-7704. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / Community/Behavioral Health is the primary health care specialty. Community Support Professionals,Llc can be contacted via phone (910) 799-4505, or through Creech, Charles via phone (910) 799-4505.

Contact Information

Primary practice address
1606 Wellington Ave Unit C Wilmington NC 28401-7704
Fax: (910) 799-4345
Website:
Authorized official contact:
Name: Creech, Charles

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 8300728 North Carolina
Agencies / In Home Supportive Care 253Z00000X 8300728 North Carolina

Profile Details

NPI number 1659692481
LBN Legal business name Community Support Professionals,Llc
DBA Doing business as Csp Cabha Provider
Authorized official Creech, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2010
Last updated Jun 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659692481 NPPES
North Carolina MEDICAID 8300728

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