VALLEY PINES ADULT CARE (NPI# 1003079872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003079872 |
| Entity Type | Organization |
| Organization Name | VALLEY PINES ADULT CARE |
| Practice Address |
2521 Muriel Dr Fayetteville NC 28306-3213 |
| Mailing Address |
Po Box 35534 Fayetteville NC 28303-0534 |
| Practice Telephone | 9104844429 |
| Mailing Telephone | 9104844429 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | GEDARIN KENARDO ROBINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9104844429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-026-052 | NC | Nursing & Custodial Care Facilities |
| Street Address |
2521 MURIEL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28306-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
| Find all providers in zip 28306 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306383450 | Family First Operating, LLC | Assisted Living Facility | 113 Medical Center Blvd, Fayetteville, TN 37334-2685 | 2017-01-27 |
| 1235494246 | Phenix Enterprise Services, LLC | Assisted Living Facility | 180 Championship Ct, Fayetteville, GA 30215-8017 | 2012-07-06 |
| 1619274644 | Southern Manor Living Centers, LLC | Assisted Living Facility | 115 Medical Center Blvd, Fayetteville, TN 37334-2689 | 2011-02-28 |
| 1871723791 | Carillon Assisted Living of Fayetteville, LLC | Assisted Living Facility | 1164 71st School Rd, Fayetteville, NC 28314-2817 | 2009-07-27 |
| 1750517496 | Miracle Restoration | Assisted Living Facility | 4850 Old Savannah Church Rd, Fayetteville, NC 28312-9183 | 2009-06-09 |
| 1770737504 | Lauren & Londen, Inc. | Assisted Living Facility | 610 Mann St, Fayetteville, NC 28301-6240 | 2008-11-06 |
| 1740466937 | Magnolia Lane LLC | Assisted Living Facility | 3510 Camden Rd, Fayetteville, NC 28306-7717 | 2008-01-17 |
| 1528189917 | Cedar Creek Assisted Living, LLC | Assisted Living Facility | 1124 Cedar Creek Rd, Fayetteville, NC 28312-6544 | 2007-04-03 |
| 1346370459 | Peterkin & Associates, Inc. | Assisted Living Facility | 7559 Decatur Dr, Fayetteville, NC 28303-1989 | 2007-03-07 |
| 1841320330 | Hope Rest Home, Inc. | Assisted Living Facility | 2967 Dunn Rd, Fayetteville, NC 28312-8883 | 2007-03-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28306 |
Please comment or provide details below to improve the information on VALLEY PINES ADULT CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.