Integrity-Pinebrook, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

INTEGRITY-PINEBROOK, LLC

Doing business as

Carolina Pines

Practice address

312 Harrison Ave
Yadkinville, NC 27055-8247

Phone

(336) 679-8671

Fax

(336) 679-7500

NPI assigned

Jun 11, 2015

Last updated

Nov 18, 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

Jonathan Swain Short

Title

Cio

Phone

(336) 438-1383

Specialties & licenses 2

Addresses

Other names 1

• Carolina 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

Tax ID family

Carolina Pines2 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.

• Integrity - Pinebrook, LLC

  dba Pinebrook Residential Center II

  • Adult Care Home Facility
  • Yadkinville, NC
  • NPI 1871035469
  NPD tax ID

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1841671245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 KOGER BLVD STE 150",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072738",
            "telephone_number": "336-438-1383",
            "fax_number": "336-438-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HARRISON AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558247",
            "telephone_number": "336-679-8671",
            "fax_number": "336-679-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY-PINEBROOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SWAIN",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "336-438-1383"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Elizabeth Hurdle Darr, FNP-C
• Natasha Hutchens
• Integrity - Patriot Living, LLC (Patriot Living of Yadkinville)
• Integrity - Pinebrook, LLC (Pinebrook Residential Center II)
• Integrity-Carolina Pines, LLC
• James McGrath MD, PLLC
• Suzanne M James, P.T.
• Charles Brian Jay, OD
• Harriet Diane Jenkins, LCSW
• Toria Davenport Jenks, LCMHCA

• Adult Care Home Facility in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.