Piedmont Adult Living Services, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

261QA600X Issued in NC

Legal business name

PIEDMONT ADULT LIVING SERVICES, INC.

Doing business as

PALS Adult Day Care Center

Practice address

1201 South Blvd
Charlotte, NC 28203-4207

Phone

(704) 370-0093

Fax

(704) 370-0940

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Bettye C. Mills, BACHLOR IN NURSING,

Title

Executive Director

Phone

(704) 370-0093

Specialties & licenses 1

Addresses

Other names 1

• PALS Adult Day Care Center Doing business as

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639212764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOUTH BLVD",
            "address_2": "PO BOX 669385",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034207",
            "telephone_number": "704-370-0093",
            "fax_number": "704-370-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034207",
            "telephone_number": "704-370-0093",
            "fax_number": "704-370-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT ADULT LIVING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "BETTYE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-370-0093",
        "authorized_official_credential": "BACHLOR IN NURSING,"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NC",
            "license": "261QA600X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALS Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcie Lynne Pickett, ANP
• Paul Pickett Jr.
• Raven C Pickett
• Leigh Anne Pickup, PA
• Cameron Scott Piechocinski, D.C.
• Piedmont Clinical Logistics LLC
• Piedmont Emergency Medical Associates, PA
• Piedmont Eye Care Associates, OD, PLLC
• Piedmont Gynecological and Obstetrical Associates
• Piedmont Gynecological and Obstetrical Associates

• Adult Day Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.