Organization Active NPI

Positive Connection Care, Inc.

  • Adult Care Home Facility
  • Greensboro, NC
National Provider Identifier
1700169695
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
POSITIVE CONNECTION CARE, INC.
Practice address
612 Pasteur Dr Ste 203
Greensboro, NC 27403-1120
Phone
(336) 554-4568
Fax
(336) 617-5948
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Erika H Hendrix, BA,M.DIV,D. MIN
Title
Program Director
Phone
(336) 587-8876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

612 Pasteur Dr Ste 203
Greensboro, NC 27403-1120

Mailing address

PO Box 16851
Greensboro, NC 27416-0851
Phone (336) 393-0088

Other identifiers 1

IdentifierTypeStateIssuer
3418925MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Positive Connection Care Inc2 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.

Locations

612 Pasteur Dr
Ste 203
Greensboro, NC 27403
Phone (336) 299-9870

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1700169695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16851",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274160851",
            "telephone_number": "336-393-0088",
            "fax_number": "336-617-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR STE 203",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031120",
            "telephone_number": "336-554-4568",
            "fax_number": "336-617-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CONNECTION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "336-587-8876",
        "authorized_official_credential": "BA,M.DIV,D. MIN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418925",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.