Pinewood Harbor, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PINEWOOD HARBOR, LLC

Practice address

325 Sound Rd
Holly Ridge, NC 28445-7813

Phone

(910) 329-9942

Fax

(910) 329-9943

NPI assigned

Aug 20, 2011

Last updated

Aug 20, 2011By 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

Ms. Belinda Grady Deluca

Title

Owner/Operator

Phone

(910) 249-3073

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313798400000",
    "number": "1467732586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SOUND RD",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457813",
            "telephone_number": "910-329-9942",
            "fax_number": "910-329-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUND RD",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457813",
            "telephone_number": "910-329-9942",
            "fax_number": "910-329-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEWOOD HARBOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-20",
        "last_updated": "2011-08-20",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "GRADY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "910-249-3073",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Holly Ridge, NC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2011; 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.