Pinebrook Residential Center 2 in Yadkinville - Adult Care Home
Pinebrook Residential Center 2 - NPI 1740315837
Pinebrook Residential Center 2 is a Adult Care Home in Yadkinville, North Carolina. Pinebrook Residential Center 2 practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Pinebrook Residential Center 2 is 1740315837. The last update date is 2020-08-22.
Pinebrook Residential Center 2's current location address is Po Box 760, Yadkinville, North Carolina. You can contact this provider via phone number 3366798671 and fax number 3366797500. The mailing address for Pinebrook Residential Center 2 is Po Box 760, Yadkinville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pinebrook Residential Center 2 |
|---|---|
| Address | Po Box 760, Yadkinville, North Carolina |
| Phone Number | 3366798671 |
| Fax Number | 3366797500 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leonard H. Fred |
| Credentials | MS, LPC, N |
| Telephone Number | 3366798671 |
NPI Number Detail
| NPI Number | 1740315837 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 760 |
|---|---|
| City | Yadkinville |
| State | North Carolina (NC) |
| Post Code | 270550760 |
| Phone Number | 3366798671 |
| Fax Number | 3366797500 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | HAL-099-010 |
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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 |
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What is the unique 10-digit identification code assigned to Pinebrook Residential Center 2 by the Centers for Medicare & Medicaid Services?
The Pinebrook Residential Center 2 has been issued the NPI (National Provider Identifier) 1740315837, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pinebrook Residential Center 2?
The Pinebrook Residential Center 2 is physically situated at Po Box 760, in the city of Yadkinville, state of NC, with the postal code 270550760.
What is Pinebrook Residential Center 2's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pinebrook Residential Center 2's specialized field of practice is Adult Care Home, and the corresponding taxonomy code that categorizes this area of specialization is 311Za0620X.
When did the Pinebrook Residential Center 2 receive its 1740315837?
The Pinebrook Residential Center 2 was issued its 1740315837 on 2007-02-22, which is the date when the organization was assigned this unique identifier.
When was the Pinebrook Residential Center 2's information last updated?
The Pinebrook Residential Center 2's information was last updated on 2020-08-22.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT