NPIMap

Organization Active NPI

Pinehaven Home Health Care Services Inc

  • Personal Care Attendant
  • Winterville, NC
National Provider Identifier
1013189786
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
PINEHAVEN HOME HEALTH CARE SERVICES INC
Practice address
2625 Railroad St
Winterville, NC 28590-1459
Phone
(252) 355-1001
Fax
(252) 355-2205
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
L Bernard Russell
Title
Manager
Phone
(252) 523-1963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2625 Railroad St
Winterville, NC 28590-1459

Mailing address

1108 N Herritage St
Kinston, NC 28501-3834
Phone (252) 523-1963

Other identifiers 1

IdentifierTypeStateIssuer
6600841MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Pine Haven Home Health Care Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1013189786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N HERRITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013834",
            "telephone_number": "252-523-1963",
            "fax_number": "252-523-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 RAILROAD ST",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285901459",
            "telephone_number": "252-355-1001",
            "fax_number": "252-355-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHAVEN HOME HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-523-1963"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600841",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.