Country Pines 1

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

COUNTRY PINES 1

Practice address

3041 Country Pines St
Morganton, NC 28655-0122

Phone

(828) 438-2886

NPI assigned

Oct 20, 2025

Organization subpart

No

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

Authorized official

Name

Donnie Puett

Title

Administrator

Phone

(828) 443-7792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1922975614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 COUNTRY PINES ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286550122",
            "telephone_number": "828-438-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 COUNTRY PINES ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286550122",
            "telephone_number": "828-438-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY PINES 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "PUETT",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-443-7792"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora's Cottage 2 LLC
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• Donald Joseph Costic, M.D.
• Country Pines Family Care Home (Country Pines II)
• County of Burke (Burke County Department of Social Services)
• County of Burke (Burke County Health Dept-Clinic Service)
• County of Burke (Burke County EMS)
• County of Burke (Burke County Health Dept-BH)

• Custodial Care Facility in Morganton, NC
• Providers in Morganton, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.