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Spirit of Excellence Community Outreach, Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, NC · enumerated 2013 · authorized official Chante Hines, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508291683

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Registry record

Entity type Organization (Type 2)
Legal business name Spirit of Excellence Community Outreach, Inc
Other name <Unavail>
Practice address 510 Crissy Dr, Jacksonville, NC, 28540
Enumeration date Sep 9, 2013
Last updated in NPPES Sep 10, 2013

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License MHL-067-157 (NC) Primary

Authorized official

Name Chante Hines
Title Office Manager

Other identifiers

Identifier Type State Issuer
3418119 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-09-10. Verify at npiregistry.cms.hhs.gov.
Where is Spirit of Excellence Community Outreach, Inc located?
The practice location on file with NPPES is in Jacksonville, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-10.