OrganizationCarolina Comprehensive Services, LlcCommunity/Behavioral HealthAgenciesPractice Address312 W Millbrook Rd, Suite 137, Raleigh, NC 27609-4389(919) 847-0550PECOS EnrollmentBased on the most recent information from CMS, provider Carolina Comprehensive Services, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508992074Provider TypeOrganizationFull NameCarolina Comprehensive Services, LlcSubpartNoEnumeration Date2/26/2007Last Updated7/1/2009Contact InformationPractice LocationPractice Address312 W Millbrook Rd, Suite 137, Raleigh, NC 27609-4389Phone(919) 847-0550Fax(919) 847-0599Mailing LocationMailing Address312 W Millbrook Rd, Suite 137, Raleigh, NC 27609-4389Phone(919) 847-0550Fax(919) 847-0599Authorized OfficialNameParkinson, Mondah Tiangai (Owner,Clinical Director)Phone(704) 507-7674Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode251B00000XDescriptionCase ManagementAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8301511DescriptionMedicaidIssuerUnlistedNorth CarolinaID8301571DescriptionMedicaidIssuerUnlistedNorth Carolina