NPIMap

Organization Active NPI

Pineview

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Goldsboro, NC
National Provider Identifier
1518192517
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-096-078 Issued in NC
Legal business name
PINEVIEW
Practice address
304 S Pineview Ave
Goldsboro, NC 27530-6037
Phone
(919) 734-0266
Fax
(919) 734-9926
NPI assigned
May 19, 2009
Organization subpart
Yes
Parent organization
RENU LIFE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Mrs. Diane Harrison
Title
President
Phone
(919) 734-0266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-096-078 NC Primary

Addresses

Primary practice location

304 S Pineview Ave
Goldsboro, NC 27530-6037

Mailing address

PO Box 1017
Goldsboro, NC 27533-1017
Phone (919) 734-0266

Other identifiers 1

IdentifierTypeStateIssuer
7803379MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Lakeview7 organizations share this tax ID, including this one
Part of
Lakeview

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1518192517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275331017",
            "telephone_number": "919-734-0266",
            "fax_number": "919-734-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S PINEVIEW AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275306037",
            "telephone_number": "919-734-0266",
            "fax_number": "919-734-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVIEW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENU LIFE, LLC",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-734-0266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-096-078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803379",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.