BEYOND CHALLENGES COMMUNITY SERVICES LLC
NPI 1730580432
Preferred Provider Organization in Henderson, NC

Active since September 12, 2014
1302 DABNEY DR, HENDERSON, NC 27536(252) 572-2167 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Preferred Provider Organization

About BEYOND CHALLENGES COMMUNITY SERVICES LLC

This page provides the complete NPI Profile along with additional information for Beyond Challenges Community Services Llc, a provider established in Henderson, North Carolina operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1730580432 assigned on September 2014. The practitioner's primary taxonomy code is 305R00000X with license number 091095 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Ervin Davis Iii (Ceo)

NPI
1730580432 Verify this NPI
Provider Name
BEYOND CHALLENGES COMMUNITY SERVICES LLC
Entity Type
Organization
Location Address
1302 DABNEY DR HENDERSON, NC 27536
Location Phone
(252) 572-2167
Mailing Address
316 STALLINGS RD DURHAM, NC 27703
Mailing Phone
(252) 572-2167
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2014
Last Update Date
09-12-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
091095
License State
NC
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ERVIN DAVIS III

Authorized Official Title
CEO
Authorized Official Phone
(919) 605-9981

Reviews for BEYOND CHALLENGES COMMUNITY SERVICES LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Prosthetist
1302 DABNEY DR
HENDERSON, NC 27536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730580432, enumerated as an "organization" on September 12, 2014.

The provider is located at 1302 DABNEY DR HENDERSON, NC 27536 and the phone number is (252) 572-2167.

Preferred Provider Organization with taxonomy code 305R00000X.