A-1 Community Support Llc

LBN: A-1 Community Support Llc
A-1 Community Support Llc is an health care organization with primary practice located at 523 S Chestnut St , Henderson NC 27536-4102. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. A-1 Community Support Llc can be contacted via phone (252) 433-0255, or through Whitley, Dwaylon Vondwell via phone (919) 649-4757.

Contact Information

Primary practice address
523 S Chestnut St Henderson NC 27536-4102
Phone: (252) 433-0255
Fax: (252) 436-6575
Website:
Map and Directions
Authorized official contact:
Name: Whitley, Dwaylon Vondwell
Phone: (919) 649-4757

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1609926112
LBN Legal business name A-1 Community Support Llc
DBA Doing business as
Authorized official Whitley, Dwaylon Vondwell
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Jan 22nd, 2009 - about 15 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 1609926112 NPPES
North Carolina MEDICAID 8302336

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