Pender Memorial Hospital, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0532 Issued in NC

Legal business name

PENDER MEMORIAL HOSPITAL, INC

Practice address

507 E Fremont St
Burgaw, NC 28425-5131

Phone

(910) 259-5451

NPI assigned

Mar 6, 2006

Organization subpart

Yes

Parent organization

PENDER MEMORIAL HOSPITAL, INCAs reported in NPPES

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

Authorized official

Name

Mr. David Long, SEO

Title

Site Executive Officer

Phone

(910) 259-5451

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pender Home Health Doing business as

Tax ID family

Nhrmc Home Care2 organizations share this tax ID, including this one

Part of

Pender Memorial Hospital

Other organizations with this tax ID 1

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

• Nhrmc Home Care

  • Home Health Agency
  • Rocky Point, NC
  • NPI 1144548405
  NPD tax ID

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1346217676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E FREMONT ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255131",
            "telephone_number": "910-259-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E FREMONT ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255131",
            "telephone_number": "910-259-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDER MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENDER MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2006-03-06",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SITE EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-259-5451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC PROVIDER NUMBER",
            "identifier": "0070N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417065",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pender Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pender EMS and Fire Inc
• Pender Memorial Hospital Inc
• Pender Memorial Hospital Inc.
• Pender Memorial Hospital Incorporated
• Pender Memorial Hospital Incorporated
• Pender Memorial Hospital, Incorporated
• Pender Memorial Hospital, Incorporated
• Pender Memorial Hospital, Incorporated
• Pender Memorial Hospital, Incorporated
• Pender Memorial Hospital, Incorporated

• Home Health Agency in Burgaw, NC
• Providers in Burgaw, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.