COMMUNITY-BASED DEVELOPMENTAL SERVICES, INC. - NPI 1306121645 - Community/Behavioral Health in Fayetteville, NC

Q: What is Community-Based Developmental Services, Inc.'s specialty?

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

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About Community-based Developmental Services, Inc. NPPES

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

COMMUNITY-BASED DEVELOPMENTAL SERVICES, INC. (NPI 1306121645) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Cynthia B. Billops, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306121645

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOMMUNITY-BASED DEVELOPMENTAL SERVICES, INC.

Location Address3274 ROSEHILL RD, SUITE 2Fayetteville, NC 28301-3005

Mailing Address1735 Slater AveFayetteville, NC 28301-4042 · (910) 488-4584 · Fax (910) 630-3169

Phone(910) 488-5820

Fax(910) 488-5837

Organization SubpartNo

Authorized OfficialCynthia B. BillopsExecutive Director · (910) 488-4584

Enumeration DateOctober 19, 2011

Last NPPES UpdateDecember 14, 2022

NPPES CertifiedDecember 14, 2022

✔ NPI 1306121645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3274 ROSEHILL RD, Fayetteville, NC 28301

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Other Identifiers 1

Medicaid6008180NC

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 34D2130387

Community Based Development Services · Fayetteville, NC

Active · expires May 7, 2027

CLIA Number34D2130387

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMay 8, 2025

Certificate Expiration DateMay 7, 2027

Laboratory DirectorMichael A. Carroll

Laboratory Phone(910) 488-5820

Laboratory LocationCommunity Based Development Services3274 Rosehill Road, Fayetteville, NC 28301

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

THE VICTORY CENTERS PLLC

Counselor (Mental Health)

3274 ROSEHILL RD
FAYETTEVILLE, NC 28301

Cumberland County (910) 964-0075

LIFE ENHANCEMENT SERVICES

Case Management

3274 ROSEHILL RD, SUITE 1
FAYETTEVILLE, NC 28301

Cumberland County (919) 264-2253

COMMUNITY-BASED DEVELOPMENTAL SERVICES, INC.

Counselor (Mental Health)

3274 ROSEHILL RD, SUITE 2
FAYETTEVILLE, NC 28301

Cumberland County (910) 488-5820

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 Community-Based Developmental Services, Inc.'s NPI number?

The NPI number for Community-Based Developmental Services, Inc. is 1306121645. It was assigned to this organization in the NPPES registry on October 19, 2011.

Where is Community-Based Developmental Services, Inc. located?

Community-Based Developmental Services, Inc. is located at 3274 Rosehill Rd Suite 2, Fayetteville, NC 28301. The listed phone number is (910) 488-5820.

What is Community-Based Developmental Services, Inc.'s specialty?

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

Does Community-Based Developmental Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2130387) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community-Based Developmental Services, Inc. was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.