Organization Active NPI

Sophia B Pierce & Associates Inc

Doing business as Sunny Acres Group Home

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1699847541
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOPHIA B PIERCE & ASSOCIATES INC
Doing business as
Sunny Acres Group Home
Practice address
611 Country Club Drive
Fayetteville, NC 28301
Phone
(910) 630-6818
Fax
(910) 822-1951
NPI assigned
Nov 15, 2006
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Mrs. Sophia Blanks Pierce, EDD
Title
Executive Director
Phone
(910) 488-8477

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

611 Country Club Drive
Fayetteville, NC 28301

Mailing address

PO Box 2813
Fayetteville, NC 28302
Phone (910) 630-6818

Other identifiers 1

IdentifierTypeStateIssuer
7805339MedicaidNC

Other names 1

  • Sunny Acres Group Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2130334Sunny Acres Group Home611 Country Club Drive, Fayetteville, NC 28301Certificate of waiverMay 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sophia B Pierce Associates Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1699847541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2813",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28302",
            "telephone_number": "910-630-6818",
            "fax_number": "910-822-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COUNTRY CLUB DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28301",
            "telephone_number": "910-630-6818",
            "fax_number": "910-822-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA B PIERCE & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "BLANKS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-488-8477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805339",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Acres Group Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunny Acres Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.