D-Pom L.L.C

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

D-POM L.L.C

Practice address

2109 Saint Andrew St Ste 15a&16
Tarboro, NC 27886-2149

Phone

(252) 641-5452

Fax

(252) 477-0372

NPI assigned

Jul 24, 2007

Last updated

Dec 22, 2020By 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

Priscilla Oates

Title

Owner/Administrator

Phone

(252) 641-5452

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

D-Pom LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• D-Pom LLC

  • Assisted Living Facility
  • Tarboro, NC
  • NPI 1336291699
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirria D. McCullough, LCSWA

  • Clinical Social Worker
  • Wilson, NC
  • NPI 1811243959
  Medicare reassignment NPD
• Immacula Saint-Louis, MD

  • Pediatrics Physician
  • Wilson, NC
  • NPI 1356449144
  Medicare reassignment NPD

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1609076942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1634",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 SAINT ANDREW ST STE 15A&16",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862149",
            "telephone_number": "252-641-5452",
            "fax_number": "252-477-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-POM L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "252-641-5452"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301751B",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Tarboro",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2109 Saint Andrew St Ste 15A&16",
            "city": "Tarboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278862149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Created for This Doula Services LLC
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• Lakiesha Cross
• Wendy Loraine Cubero, EDS.
• Cultivating Change, LLC
• D-Pom LLC
• Alberto J D'Empaire, M.D.
• Marlene Dail, RN
• Susan Ann Dancy, BSW, MPH, LALA
• Justin Daugherty, OTR

• Community/Behavioral Health Agency in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.