Provider Demographics
NPI:1578726113
Name:COMMUNITY ALTERNATIVES INC.
Entity Type:Organization
Organization Name:COMMUNITY ALTERNATIVES INC.
Other - Org Name:COMMUNITY CHOICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, QUALITY & SERVICE INTEGRATION
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:FULK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-533-0166
Mailing Address - Street 1:5800 EXECUTIVE CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8859
Mailing Address - Country:US
Mailing Address - Phone:704-336-4844
Mailing Address - Fax:
Practice Address - Street 1:2634 CHAPEL HILL BLVD STE 11
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707
Practice Address - Country:US
Practice Address - Phone:919-490-6900
Practice Address - Fax:919-490-3087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL032391251S00000X
NCMHL-032-390251S00000X
NCMHL-032-391251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC52-A CHAPEL HILL RDOtherIPRS
NC55-D CHAPEL HILL RDOtherIPRS
NC59-A CHAPEL HILL RDOtherIPRS
NC54B CHAPEL HILL RDOtherIPRS
NC60-B CHAPEL HILL RDOtherIPRS
NC8301970PMedicaid
NC36-A CHAPEL HILL RDOtherIPRS
NC8301970BMedicaid
NC36-D CHAPEL HILL RDOtherIPRS
NC8301970GMedicaid
NC8301970Medicaid