PC Entreprise LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PC ENTREPRISE LLC

Practice address

17 Cove Rd
Moorestown, NJ 08057-3949

Phone

(267) 981-3547

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Patrick CharlesNPI 1487342697

Title

Manager

Phone

(267) 981-3547

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Charles

  • Counselor
  • Moorestown, NJ
  • NPI 1487342697
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1760174585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 COVE RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573949",
            "telephone_number": "267-981-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COVE RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573949",
            "telephone_number": "267-981-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC ENTREPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-981-3547"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjana Patel
• Sanjiv C Patel, M.D.
• Meenal K. Patil, MD
• Kevin Paul, LPC
• Pawpaw Tree LLC
• Cornell Pearcy, MD
• Pennswood Village
• Shannon Perez, NP
• Joseph A Perrone, D.D.S.
• Dolores Peterson, MD

• Assisted Living Facility in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.