P&C Adult Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

P&C ADULT CARE LLC

Practice address

1345 Chapman LN
Newton, NC 28658-1778

Phone

(828) 464-6490

Fax

(828) 466-3002

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Casey Black

Title

Member Manger/Owner

Phone

(704) 239-2199

Specialties & licenses 1

Addresses

Other names 1

• Piedmont Village at Newton Doing business as

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1609494897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 BELL RIDGE CT",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "281387437",
            "telephone_number": "704-239-2199",
            "fax_number": "704-856-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 CHAPMAN LN",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286581778",
            "telephone_number": "828-464-6490",
            "fax_number": "828-466-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&C ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "MEMBER MANGER/OWNER",
        "authorized_official_telephone_number": "704-239-2199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Village at Newton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Paul Northrup, RPH
• Raymond Henry Osterer, PA
• Kayla Nicole Overstreet, CPNP
• Elizabeth M Owens, PA-C
• Vida Asantewaa Owusu-Sowah, FNP-C
• Pace@Home, Inc
• Lydia Helmick Palmer, NP
• Bill Jack Parker, M.D.
• Eric Wayne Parker, FNP-C
• Laura S. Parker, FNP-BC

• Adult Care Home Facility in Newton, NC
• Providers in Newton, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.