NPIMap

Organization Active NPI

Piedmont Senior Care

  • PACE Provider Organization
  • Burlington, NC
National Provider Identifier
1851648349
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
101496 Issued in NC
Legal business name
PIEDMONT SENIOR CARE
Practice address
1214 Vaughn Rd
Burlington, NC 27217-2863
Phone
(336) 532-0000
Fax
(336) 532-0001
NPI assigned
Aug 14, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PIEDMONT HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Ms. Sharon Ruth Schultz, 101496
Title
Care Manager
Phone
(336) 532-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 101496 NC Primary

Addresses

Primary practice location

1214 Vaughn Rd
Burlington, NC 27217-2863

Mailing address

3570 Boywood Rd
Graham, NC 27217
Phone (336) 532-0000

Other identifiers 1

IdentifierTypeStateIssuer
101496OtherNCREGISTERED NURSE

Other names 1

  • Piedmont Senior Care Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1082459Piedmont Health Senior Care1214 Vaughn Road, Burlington, NC 27217Provider-performed microscopyApr 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Health Services in33 organizations share this tax ID, including this one
Part of
Piedmont Health Services in

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

1214 Vaughn Rd
Burlington, NC 27217
Phone (336) 506-5840

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1851648349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 BOYWOOD RD",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "27217",
            "telephone_number": "336-532-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 VAUGHN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172863",
            "telephone_number": "336-532-0000",
            "fax_number": "336-532-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SENIOR CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIEDMONT HEALTH SERVICES, INC",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CARE MANAGER",
        "authorized_official_telephone_number": "336-532-0000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "101496"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NC",
            "license": "101496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "101496",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Senior Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.