Organization Active NPI

Carolina Care and Management LLC

Doing business as Parkton Place

  • Adult Care Home Facility
  • Elizabeth City, NC
National Provider Identifier
1467834283
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-078-101 Issued in NC
Legal business name
CAROLINA CARE AND MANAGEMENT LLC
Doing business as
Parkton Place
Practice address
143 Rosedale Dr
Elizabeth City, NC 27909-9810
Phone
(252) 562-6593
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Dana Smith, RPH
Title
Operations Advisor
Phone
(252) 562-6593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL-078-101 NC Primary

Addresses

Primary practice location

143 Rosedale Dr
Elizabeth City, NC 27909-9810

Mailing address

143 Rosedale Dr
Elizabeth City, NC 27909-9810
Phone (252) 562-6593

Other names 1

  • Parkton Place Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1467834283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 ROSEDALE DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099810",
            "telephone_number": "252-562-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 ROSEDALE DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099810",
            "telephone_number": "252-562-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARE AND MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OPERATIONS ADVISOR",
        "authorized_official_telephone_number": "252-562-6593",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-078-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkton Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.