Carolyn Diane Perry

Primary specialty

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

License

098050 Issued in NC

Practice address

108 Stadium St SW
Wilson, NC 27893-4749

Phone

(252) 243-7174

Fax

(252) 206-7175

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luv -N- Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Wilson, NC
  • NPI 1114110491

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official
• Luv N Care Health Services

  • Developmental Disabilities Clinic/Center
  • Wilson, NC
  • NPI 1114175635
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194843839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STADIUM ST SW",
            "address_2": "P.O. BOX 3054",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934749",
            "telephone_number": "252-243-7174",
            "fax_number": "252-206-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STADIUM ST SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934749",
            "telephone_number": "252-243-7174",
            "fax_number": "252-206-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CAROLYN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "098050",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-098-050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peppers Steppin Lifestyle Fitness
• Kyaun Peppers
• Paul A Perez-Navarro, M.D.
• Carol Pereznavarro
• Phillip Kerry Perkins, MD
• Jayme B Perry
• Ralph Barnes Perry Jr., OD
• Ralph Barnes Perry Sr., OD
• David A Peterson, MSW, LCSWA
• Mary Byrd Ewell Pettenati, MSW

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wilson, NC
• Providers in Wilson, 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 Jul 8, 2007; 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.