Pride in North Carolina, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRIDE IN NORTH CAROLINA, LLC

Practice address

5710 Oleander Drive
Suite 208
Wilmington, NC 28403-4722

Phone

(910) 452-1460

Fax

(910) 397-0821

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Jason Rutski

Title

Director of Business Operations

Phone

(910) 452-1460

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Pride in North Carolina, Inc. Former legal business name

Tax ID family

Pride in North Carolina Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Pride in North Carolina, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Elizabeth City, NC
  • NPI 1891850194
  NPD tax ID
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Wilson, NC
  • NPI 1043365869
  NPD tax ID
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Elizabeth City, NC
  • NPI 1902944671
  NPD tax ID

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1144368804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 COMMERCE ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585029",
            "telephone_number": "252-321-8080",
            "fax_number": "252-321-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DRIVE",
            "address_2": "SUITE 208",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034722",
            "telephone_number": "910-452-1460",
            "fax_number": "910-397-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE IN NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "RUTSKI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "910-452-1460"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300244",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300244G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300244B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pride in North Carolina, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kaylee Price, OTD
• Mary Elizabeth Price, PA-C
• Mary Elizabeth Price, M.D.
• Nicole Ashton Price
• Patricia Prichard, LCSWA
• David Collins Pridgen, LCMHCA
• Danille Prime, M.D.
• Marilynn A Prince-Fiocco, MD
• Wendy Marie Principe, FNP
• Chiara Pringle-O'Neal

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.