People Achieving Living Skill

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL043062 Issued in NC

Legal business name

PEOPLE ACHIEVING LIVING SKILL

Practice address

200 N 13TH St
Suite 3B
Erwin, NC 28339-1700

Phone

(910) 897-4311

Fax

(910) 897-4342

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Pamela Terry

Title

Ceo

Phone

(910) 897-4311

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124164595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 13TH ST",
            "address_2": "SUITE 3B",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283391700",
            "telephone_number": "910-897-4311",
            "fax_number": "910-897-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 13TH ST",
            "address_2": "SUITE 3B",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283391700",
            "telephone_number": "910-897-4311",
            "fax_number": "910-897-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE ACHIEVING LIVING SKILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-897-4311"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL043062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408775",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301279 B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laebony Nelson, LCSWA
• Joel Nettles
• North Carolina Physicians Eyecare Group, P.C.
• Nuelife Health System, LLC
• Nuelife Health Systems
• People Achieving Living Skills
• Carisa Nichole Peterson, PHARMD
• Oanh Ngoc Phung, PA-C
• Kelli Powell
• Premium Home Health Care, Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Erwin, NC
• Providers in Erwin, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.