Pine Acre Family Care Home #2 in Clinton - Adult Care Home

Pine Acre Family Care Home #2 - NPI 1659580470

Pine Acre Family Care Home #2 is a Adult Care Home in Clinton, North Carolina. Pine Acre Family Care Home #2 practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Pine Acre Family Care Home #2 is 1659580470. The last update date is 2008-07-03.

Pine Acre Family Care Home #2's current location address is 156 Pine Acres Ln, Clinton, North Carolina. You can contact this provider via phone number 9105921950 and fax number 9105928880. The mailing address for Pine Acre Family Care Home #2 is 156 Pine Acres Ln, Clinton, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pine Acre Family Care Home #2
Address 156 Pine Acres Ln, Clinton, North Carolina
Phone Number 9105921950
Fax Number 9105928880
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Mitchell Harold Christopher
Credentials ADMINISTRA
Telephone Number 9105921950

NPI Number Detail

NPI Number 1659580470
Provider Enumeration Date 2007-05-21
Last Updated Date 2008-07-03

Provider Mailing Address Detail

Address 156 Pine Acres Ln
City Clinton
State North Carolina (NC)
Post Code 283287390
Phone Number 9105921950
Fax Number 9105928880

Provider's Primary Taxonomy Detail

Speciality Adult Care Home
Taxonomy 311Za0620X
Licence No FCL-082-010
Definition:
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7803992 NC --

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FAQs about Pine Acre Family Care Home #2

What is the unique 10-digit identifier code issued to Pine Acre Family Care Home #2 by the Centers for Medicare & Medicaid Services?

The Pine Acre Family Care Home #2 has been assigned the NPI (National Provider Identifier) 1659580470 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Pine Acre Family Care Home #2's physical address?

The Pine Acre Family Care Home #2 is physically located at 156 Pine Acres Ln, in the city of Clinton, NC, with the postal code 283287390.

What is Pine Acre Family Care Home #2's specialized field of practice, and what is the corresponding taxonomy classification code?

The Pine Acre Family Care Home #2's area of specialization is Adult Care Home, and the corresponding taxonomy code that categorizes this field of practice is 311Za0620X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659580470 to Pine Acre Family Care Home #2?

The Pine Acre Family Care Home #2 received its 1659580470 assignment from the Centers for Medicare & Medicaid Services on 2007-05-21.

When was the information pertaining to Pine Acre Family Care Home #2 most recently updated or revised?

The details related to Pine Acre Family Care Home #2, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-03.

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