1477685964 NPI number — ARO COMMUNITY SERVICES, INC.

Table of content: (NPI 1477685964)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477685964 NPI number — ARO COMMUNITY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARO COMMUNITY SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477685964
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1515 W CORNWALLIS DR
Provider Second Line Business Mailing Address:
SUITE G107
Provider Business Mailing Address City Name:
GREENSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27408-6338
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-378-9862
Provider Business Mailing Address Fax Number:
336-378-9838

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1515 W CORNWALLIS DR
Provider Second Line Business Practice Location Address:
SUITE G107
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27408-6338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-378-9862
Provider Business Practice Location Address Fax Number:
336-378-9838
Provider Enumeration Date:
03/10/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HORTON
Authorized Official First Name:
KARL
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
336-378-9862

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HC0144 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3408461 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100070 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6600188 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".