Active NPI
Pender County Dept of Social Services
- Nursing Care Agency
- Burgaw, NC
National Provider Identifier
1356540637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- HC0694
- Legal business name
- PENDER COUNTY DEPT OF SOCIAL SERVICES
- Practice address
- 810 S Walker St
Burgaw, NC 28425-5000 - Phone
- (910) 259-1240
- Fax
- (910) 259-1418
- NPI assigned
- Jul 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reta M Shiver, D.P.A.
- Title
- Director
- Phone
- (910) 259-1240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | HC0694 | NC | Primary |
Addresses
Primary practice location
810 S Walker St
Burgaw, NC 28425-5000
Mailing address
810 S Walker St
Burgaw, NC 28425-5000
Phone (910) 259-1240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8700042 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Pender County Dept of Social Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Burgaw, NC
- NPI 1508887076
Locations
810 S Walker St
Burgaw, NC 28425
Phone (910) 259-1240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1356540637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 S WALKER ST",
"city": "BURGAW",
"state": "NC",
"postal_code": "284255000",
"telephone_number": "910-259-1240",
"fax_number": "910-259-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S WALKER ST",
"city": "BURGAW",
"state": "NC",
"postal_code": "284255000",
"telephone_number": "910-259-1240",
"fax_number": "910-259-1418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENDER COUNTY DEPT OF SOCIAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "SHIVER",
"authorized_official_first_name": "RETA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-259-1240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.A."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "HC0694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8700042",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burgaw, NC
- Pathways of Hope
- Dennisha Sue Pauley
- Darrian Pelkey, LCSW
- Pender Adult Service, Inc
- Pender Adult Services, Inc.
- Pender County Schools
- Pender EMS and Fire Inc
- Pender Memorial Hospital Inc (Pender Memorial Hospital)
- Pender Memorial Hospital Inc.
- Pender Memorial Hospital Incorporated (Novant Health Pender Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.