D-Pom LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

D-POM LLC

Practice address

2109 Saint Andrew St Ste 15a&16
Tarboro, NC 27886-2149

Phone

(252) 641-5452

Fax

(252) 641-0372

NPI assigned

Jan 17, 2007

Last updated

Dec 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Priscilla Everette Oates

Title

Owner/Administrator

Phone

(252) 641-5452

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

D-Pom LLC2 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.

• D-Pom L.L.C

  • Community/Behavioral Health Agency
  • Tarboro, NC
  • NPI 1609076942
  NPD tax ID

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1336291699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1634",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861634",
            "telephone_number": "252-823-4367",
            "fax_number": "252-823-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 SAINT ANDREW ST STE 15A&16",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862149",
            "telephone_number": "252-641-5452",
            "fax_number": "252-641-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-POM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "EVERETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "252-641-5452",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408421",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Tarboro",
            "affiliation": "N",
            "endpointDescription": "Tarboro",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2109 Saint Andrew St Ste 15A&16",
            "city": "Tarboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278862149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Alberto J D'Empaire, M.D.
• Marlene Dail, RN
• Susan Ann Dancy, BSW, MPH, LALA
• Justin Daugherty, OTR
• Jeannette Hardy Davenport, RPH

• Assisted Living Facility in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.