NPIMap

Organization Active NPI

Pinetree Community Services, Inc.

  • Voluntary or Charitable Agency
  • Aberdeen, NC
National Provider Identifier
1467558437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PINETREE COMMUNITY SERVICES, INC.
Practice address
1901 N Poplar St
Suite C
Aberdeen, NC 28315-3311
Phone
(910) 692-6008
Fax
(910) 693-1239
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald C. Hodiak
Title
Executive Director
Phone
(910) 692-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1901 N Poplar St
Suite C
Aberdeen, NC 28315-3311

Mailing address

1901 N Poplar St
Suite C
Aberdeen, NC 28315-3311
Phone (910) 692-6008

Other identifiers 1

IdentifierTypeStateIssuer
3408834MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Pinetree Community Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1901 N Poplar St
Ste C
Aberdeen, NC 28315
Phone (910) 692-6008

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467558437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N POPLAR ST",
            "address_2": "SUITE C",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283153311",
            "telephone_number": "910-692-6008",
            "fax_number": "910-693-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N POPLAR ST",
            "address_2": "SUITE C",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283153311",
            "telephone_number": "910-692-6008",
            "fax_number": "910-693-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINETREE COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODIAK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-692-6008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408834",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

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