Pittman Family Care

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

FCL-061-003 Issued in NC

Legal business name

PITTMAN FAMILY CARE

Practice address

47 Piney Haven Dr
Bakersville, NC 28705-0525

Phone

(828) 688-3971

Fax

(828) 688-3971

NPI assigned

Jul 5, 2007

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Gene Pittman

Title

Owner

Phone

(828) 688-3971

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1467650036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PINEY HAVEN DR",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287050525",
            "telephone_number": "828-688-3971",
            "fax_number": "828-688-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PINEY HAVEN DR",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287050525",
            "telephone_number": "828-688-3971",
            "fax_number": "828-688-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTMAN FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-688-3971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Lodging",
            "state": "NC",
            "license": "FCL-061-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801330",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lodging Provider in Bakersville, NC
• Providers in Bakersville, NC by specialty
• Lodging Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.