NPIMap

Organization Active NPI

Pender Adult Services, Inc.

  • Non-emergency Medical Transport (VAN)
  • Burgaw, NC
National Provider Identifier
1265979975
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
HC0786 Issued in NC
Legal business name
PENDER ADULT SERVICES, INC.
Practice address
901 S. Walker St
Burgaw, NC 28425-5009
Phone
(910) 259-9119
NPI assigned
Jan 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Wesley B. Davis
Title
Executive Director
Phone
(910) 259-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X HC0786 NC Primary

Addresses

Primary practice location

901 S. Walker St
Burgaw, NC 28425-5009

Mailing address

PO Box 1251
Burgaw, NC 28425-1251

National Provider Directory

National Provider Directory
Tax ID family
Pender Adult Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1265979975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284251251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S. WALKER ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255009",
            "telephone_number": "910-259-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDER ADULT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-259-9119"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "HC0786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.