Active NPI
Canine Cabana
- Assisted Living Facility
- Nags Head, NC
National Provider Identifier
1992930705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CANINE CABANA
- Practice address
- 4717 S Blue Marlin Way
Nags Head, NC 27959-9678 - Phone
- (252) 441-7517
- Fax
- (252) 441-7517
- NPI assigned
- May 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Georgeanne Hoegerman, MD
- Title
- Owner/Administrator
- Phone
- (252) 441-7517
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NC | Primary | |
| Respite Care | 385H00000X | NC |
Addresses
Primary practice location
4717 S Blue Marlin Way
Nags Head, NC 27959-9678
Mailing address
4717 S Blue Marlin Way
Nags Head, NC 27959-9678
Phone (252) 441-7517
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242950400000",
"number": "1992930705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4717 S BLUE MARLIN WAY",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "279599678",
"telephone_number": "252-441-7517",
"fax_number": "252-441-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 S BLUE MARLIN WAY",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "279599678",
"telephone_number": "252-441-7517",
"fax_number": "252-441-7517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANINE CABANA",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A",
"authorized_official_last_name": "HOEGERMAN",
"authorized_official_first_name": "GEORGEANNE",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "252-441-7517",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nags Head, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.