Pettiford Homes Dba McDaniel Homes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PETTIFORD HOMES DBA MCDANIEL HOMES

Doing business as

McDaniel Homes, LLC

Practice address

315 Old Allensville Road
Roxboro, NC 27574

Phone

(336) 599-9863

NPI assigned

Jan 29, 2014

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MCDANIEL HOMES,LLCAs reported in NPPES

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

Authorized official

Name

Lisa Pettiford

Title

Manager

Phone

(919) 308-6672

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• McDaniel Homes, LLC Doing business as

Electronic endpoints 3

Part of

McDaniel Homesllc

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1124441050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1659",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275731659",
            "telephone_number": "336-599-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OLD ALLENSVILLE ROAD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "27574",
            "telephone_number": "336-599-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTIFORD HOMES DBA MCDANIEL HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDANIEL HOMES,LLC",
        "enumeration_date": "2014-01-29",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "PETTIFORD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-308-6672"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "MHL-073-066",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418621",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.therapservices.net/auth/login",
            "affiliation": "Y",
            "endpointDescription": "Therap",
            "affiliationName": "McDaniel Homes,LLc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EVV",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EVV",
            "address_1": "315 Old Allensville Road",
            "city": "Roxboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.therapservices.net/ma/newfpage/settings",
            "affiliation": "Y",
            "endpointDescription": "Therap",
            "affiliationName": "McDaniel homes llc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "315 Old Allensville Road",
            "city": "Roxboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.therapservices.net/ma/newfpage/admin",
            "affiliation": "N",
            "endpointDescription": "therap",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EVV",
            "address_1": "315 Old Allensville Road",
            "city": "Roxboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "McDaniel Homes, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.