The Full Coverage PDN Company

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

HC4714 Issued in NC

Legal business name

THE FULL COVERAGE PDN COMPANY

Practice address

8396 Six Forks Rd
Suite 102
Raleigh, NC 27615-3058

Phone

(919) 803-4000

Fax

(888) 248-7987

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Herman Russell Pippin

Title

Administrator

Phone

(919) 803-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1801286232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8396 SIX FORKS RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153058",
            "telephone_number": "919-803-4000",
            "fax_number": "888-248-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8396 SIX FORKS RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153058",
            "telephone_number": "919-803-4000",
            "fax_number": "888-248-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FULL COVERAGE PDN COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "PIPPIN",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-803-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC4714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Dyer Home
• The Emmanuel Home
• The Emmanuel Home II
• The Emmanuel Home III
• The Emmanuel Home III
• The Garden Wellness Group PLLC
• The Good Samaritan Counseling, PA
• The GYN Center for Women, PA
• The Healing Nest NC LLC
• The Healing Oak, PLLC

• Nursing Care Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.