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1ELEVEN LLC
NPI 1114874104
Community/Behavioral Health in Greensboro, NC

Active since March 11, 2026CLIA 34D2350731 · Waiver
2301 N CHURCH ST, GREENSBORO, NC 27405(800) 784-6845(781) 394-2662 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About 1eleven Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1ELEVEN LLC (NPI 1114874104) is a healthcare organization registered as a community/behavioral health in Greensboro, North Carolina and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through September 14, 2028 and lists Sam David Steele, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1114874104
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business Name1ELEVEN LLC
Location Address2301 N CHURCH STGreensboro, NC 27405-4309
Mailing Address2301 N Church StGreensboro, NC 27405-4309 · (800) 784-6845 · Fax (781) 394-2662
Phone(800) 784-6845
Fax(781) 394-2662
Organization SubpartNo
Authorized OfficialSam David SteeleDirector Of Billing · (781) 366-3953
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1114874104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
2301 N CHURCH ST, Greensboro, NC 27405
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2350731

1eleven Behavioral Health & Addiction Treatment · Greensboro, NC
Active · expires Sep 14, 2028
CLIA Number34D2350731
Laboratory TypeBehavioral Health
Certificate Effective DateSeptember 15, 2026
Certificate Expiration DateSeptember 14, 2028
Laboratory DirectorTai Faisal
Laboratory Phone(336) 530-5079
Laboratory Location1eleven Behavioral Health & Addiction Treatment2301 North Church Street, Greensboro, NC 27405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL W CLENDENIN CO, C-PED
Specialist (Prosthetics Case Management)
2301 N CHURCH ST
GREENSBORO, NC 27405
Guilford County (336) 333-9081
GREGORY V LINDLEY BOCO/COPA
Orthotist
2301 N CHURCH ST
GREENSBORO, NC 27405
Guilford County (336) 333-9081
MR. VANCE R WALTON CFO
Orthotic Fitter
2301 N CHURCH ST
GREENSBORO, NC 27405
Guilford County (336) 333-9081
JOHN R CRUTCHFIELD BOCO, BOCP
Orthotist
2301 N CHURCH ST
GREENSBORO, NC 27405
Guilford County (336) 333-9081
MICHAEL R NEAL CPO
Specialist (Prosthetics Case Management)
2301 N CHURCH ST
GREENSBORO, NC 27405
Guilford County (336) 333-9081
LARRY D POWERS CP, ROA
Specialist (Prosthetics Case Management)
2301 N CHURCH ST
GREENSBORO, NC 27405
Guilford County (336) 333-9081
BIO-TECH PROSTHETICS AND ORTHOTICS, INC
Prosthetic/Orthotic Supplier
2301 N CHURCH ST
GREENSBORO, NC 27405
Guilford County (336) 333-9081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1eleven LLC's NPI number?

The NPI number for 1eleven LLC is 1114874104. It was assigned to this organization in the NPPES registry on March 11, 2026.

Where is 1eleven LLC located?

1eleven LLC is located at 2301 N Church St, Greensboro, NC 27405. The listed phone number is (800) 784-6845.

What is 1eleven LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does 1eleven LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2350731) is associated with this NPI, valid through September 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 1eleven LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.