Valley Pines Adult Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-026-052 Issued in NC

Legal business name

VALLEY PINES ADULT CARE

Practice address

2521 Muriel Dr
Fayetteville, NC 28306-3213

Phone

(910) 484-4429

NPI assigned

Jul 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gedarin Kenardo Robinson

Title

Administrator

Phone

(910) 484-4429

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1003079872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35534",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283030534",
            "telephone_number": "910-484-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 MURIEL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063213",
            "telephone_number": "910-484-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PINES ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "GEDARIN",
        "authorized_official_middle_name": "KENARDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-484-4429"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-026-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valley Radiology P a
• Valleygate Anesthesia
• Valleygate Dental Surgery Center of Fayetteville, LLC
• Melenie Valois
• Valoraride Inc

• Assisted Living Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.