NPIMap

Organization Active NPI

Piedmonth Health Seniorcare

  • PACE Provider Organization
  • Burlington, NC
National Provider Identifier
1144578428
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
190491 Issued in NC
Legal business name
PIEDMONTH HEALTH SENIORCARE
Practice address
1214 Vaughn Rd
Burlington, NC 27217-2863
Phone
(336) 532-0000
NPI assigned
Aug 17, 2012
Organization subpart
Yes
Parent organization
PIEDMONT HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Mrs. Tenesha Medlin, RN
Title
RN Care Manager
Phone
(336) 532-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 190491 NC Primary

Addresses

Primary practice location

1214 Vaughn Rd
Burlington, NC 27217-2863

Mailing address

1214 Vaughn Rd
Burlington, NC 27217-2863
Phone (336) 532-0000

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Senior Care33 organizations share this tax ID, including this one
Part of
Piedmont Senior Care

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1144578428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 VAUGHN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172863",
            "telephone_number": "336-532-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 VAUGHN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172863",
            "telephone_number": "336-532-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONTH HEALTH SENIORCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIEDMONT HEALTH SERVICES",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "TENESHA",
        "authorized_official_title_or_position": "RN CARE MANAGER",
        "authorized_official_telephone_number": "336-532-0000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NC",
            "license": "190491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.