MAKING A DIFFERENCE COMMUNITY SUPPORT LLC
NPI 1912186735
Clinic/Center - Rehabilitation in Manteo, NC

Active since October 29, 2007
102 OLD TOM AVE., MANTEO, NC 27954(252) 475-9829 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Making A Difference Community Support Llc NPPES

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

MAKING A DIFFERENCE COMMUNITY SUPPORT LLC (NPI 1912186735) is a healthcare organization registered as a rehabilitation in Manteo, North Carolina and active in the NPI registry since October 2007. The organization lists Shanequa Cornise Benton, Member/organizer, as its authorized official.

NPPES Registry Identity

NPI1912186735
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMAKING A DIFFERENCE COMMUNITY SUPPORT LLC
Location Address102 OLD TOM AVE.Manteo, NC 27954
Mailing AddressPo Box 7672Kill Devil Hills, NC 27948-6672 · (252) 475-9829
Organization SubpartNo
Authorized OfficialShanequa Cornise BentonMember/organizer · (252) 475-9829
Enumeration DateOctober 29, 2007
Last NPPES UpdateNovember 1, 2007
NPI 1912186735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License Licensed in NC · 261QR0400X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 261QM0850X (NC)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 261QM0855X (NC)
102 OLD TOM AVE., Manteo, NC 27954

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 Making A Difference Community Support LLC's NPI number?

The NPI number for Making A Difference Community Support LLC is 1912186735. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Making A Difference Community Support LLC located?

Making A Difference Community Support LLC is located at 102 Old Tom Ave., Manteo, NC 27954. The listed phone number is (252) 475-9829.

What is Making A Difference Community Support LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Making A Difference Community Support LLC was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.