Organization Active NPI

Pathfinders of Coastal Carolina, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Plymouth, NC
National Provider Identifier
1407000706
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PATHFINDERS OF COASTAL CAROLINA, INC.
Practice address
125-A. West Water St.
Plymouth, NC 27962-1305
Phone
(252) 793-3057
Fax
(252) 793-3057
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Mr. Craig Evan Wilkins
Title
Ceo/ President
Phone
(410) 251-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

125-A. West Water St.
Plymouth, NC 27962-1305

Mailing address

PO Box 97
Roper, NC 27970-0097
Phone (252) 793-3057

National Provider Directory

National Provider Directory
Tax ID family
Pathfinders of Coastal Carolina 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.

Locations

125A W Water St
Plymouth, NC 27962
Phone (252) 793-3057

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1407000706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "ROPER",
            "state": "NC",
            "postal_code": "279700097",
            "telephone_number": "252-793-3057",
            "fax_number": "252-793-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125-A. WEST WATER ST.",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621305",
            "telephone_number": "252-793-3057",
            "fax_number": "252-793-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDERS OF COASTAL CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "410-251-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.