Pleasant Living Healthcare, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0605 Issued in NC

Legal business name

PLEASANT LIVING HEALTHCARE, INC

Doing business as

Quail Haven Village

Practice address

155 Blake Blvd
Pinehurst, NC 28374-8402

Phone

(910) 295-2294

Fax

(910) 295-2379

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Charles D Maxwell

Title

Secretary/Treasurer

Phone

(901) 524-4100

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Quail Haven Village Doing business as

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1437130820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BLAKE BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748402",
            "telephone_number": "910-295-2294",
            "fax_number": "910-295-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BLAKE BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748402",
            "telephone_number": "910-295-2294",
            "fax_number": "910-295-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT LIVING HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "901-524-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405518",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340613X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "009CK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quail Haven Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pinehurst Womens Clinic PA
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• Lawrence B Place, MD
• Play With Me OT
• Stacy Pleasants, MSN, APRN, FNP
• Brenda Pleasents
• Tanya Ashley Plitzko, FNP-C
• Robert A Pohlmeyer, MD
• Rebecca Polega

• Skilled Nursing Facility in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.