Ec Opco Southern Pines, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EC OPCO SOUTHERN PINES, LP

Doing business as

Elmcroft of Southern Pines

Practice address

101 Brucewood Rd
Southern Pines, NC 28387-5159

Phone

(910) 692-4928

Fax

(910) 692-0899

NPI assigned

Jul 5, 2021

Last updated

Jul 5, 2021By 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

Amy W. Fleming

Title

Controller of Management Company

Phone

(971) 227-3922

Specialties & licenses 3

Addresses

Other names 1

• ELMCROFT OF SOUTHERN PINES Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1750952438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 MEADOWS RD STE 500",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358646",
            "telephone_number": "971-213-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRUCEWOOD RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875159",
            "telephone_number": "910-692-4928",
            "fax_number": "910-692-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC OPCO SOUTHERN PINES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CONTROLLER OF MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "971-227-3922"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMCROFT OF SOUTHERN PINES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breana Dutcher
• Tera Duthie, LCSW
• Kortney Dwyer
• Heather Dyer
• E Squared Community Services LLC
• Ec Southern Pines Operations, LLC
• Eckerd Corporation (Rite Aid Pharmacy 11517)
• Edc Drug Stores (Rite Aid Pharmacy 11518)
• Effective Interventions (Step Forward ABA)
• Osemwegie Eghidemwivbie, LMBT, AAS, PT

• Assisted Living Facility in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.