Organization Active NPI

Pamlico Arms

  • Adult Care Home Facility
  • Washington, NC
National Provider Identifier
1922496561
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-007-01 Issued in NC
Legal business name
PAMLICO ARMS
Practice address
609 W 2ND St
Washington, NC 27889-4806
Phone
(252) 946-1701
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
John S Asby
Title
Member Manager
Phone
(252) 217-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL-007-01 NC Primary

Addresses

Primary practice location

609 W 2ND St
Washington, NC 27889-4806

Mailing address

2550 Arthur Modlin Rd
Jamesville, NC 27846-9785
Phone (252) 217-5080

Other names 1

  • Washington Manor Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1922496561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ARTHUR MODLIN RD",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "278469785",
            "telephone_number": "252-217-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W 2ND ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894806",
            "telephone_number": "252-946-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMLICO ARMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "ASBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "252-217-5080"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-007-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.