Pegues Personal Care Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3243 Issued in NC

Legal business name

PEGUES PERSONAL CARE AGENCY, INC.

Practice address

12180 Oak Croft TRL
Laurinburg, NC 28352-1837

Phone

(910) 277-1399

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 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. Gregory Eugene Pegues, CRT, RCP

Title

Director

Phone

(910) 318-9996

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1467651588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 OAK CROFT TRL",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283521837",
            "telephone_number": "910-277-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 OAK CROFT TRL",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283521837",
            "telephone_number": "910-277-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGUES PERSONAL CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "PEGUES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "19103189996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT, RCP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601418",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Home Health Agency in North Carolina

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