Wellformed AI

NPI 1255086377 · live from the CMS NPI Registry

A Storm Community Support

Community/Behavioral Health in Raleigh, NC. National Provider Identifier 1255086377, active.

NPI record

NPI1255086377 Type 2 · organization
StatusActive
Primary specialtyCommunity/Behavioral Health 251S00000X
Practice location4801 Glenwood Ave Ste 200, Raleigh, NC 27612
Practice phone919-917-8330
EnumeratedFebruary 17, 2022
Last updatedJuly 27, 2026
Authorized officialTiffany Hill, President

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Meals174200000X—
Case Management251B00000X—
Community/Behavioral Health primary251S00000X—
Foster Care Agency253J00000X—
In Home Supportive Care253Z00000X—
Rehabilitation, Substance Use Disorder Unit276400000X—
Clinical Medical Laboratory291U00000X—
Custodial Care Facility, Adult Care Home311ZA0620X—
Community Based Residential Treatment Facility, Mental Illness320800000X—
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities320900000X—
Home Delivered Meals332U00000X—
Non-emergency Medical Transport (VAN)343900000X—
Private Vehicle347C00000X—
Respite Care385H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.