Provider Demographics
NPI:1457410235
Name:STANDARDS BASED SOLUTIONS EAST, LLC
Entity Type:Organization
Organization Name:STANDARDS BASED SOLUTIONS EAST, LLC
Other - Org Name:SBS-EAST
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:BARBEE
Authorized Official - Last Name:OSHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-403-2200
Mailing Address - Street 1:5533 MONROE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-5503
Mailing Address - Country:US
Mailing Address - Phone:704-531-9311
Mailing Address - Fax:704-531-1931
Practice Address - Street 1:3708 LYCKAN PKWY STE 103
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2586
Practice Address - Country:US
Practice Address - Phone:919-403-2200
Practice Address - Fax:919-403-9021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300788Medicaid