PIVOTAL CARE GROUP INC (NPI# 1487190401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487190401 |
| Entity Type | Organization |
| Organization Name | PIVOTAL CARE GROUP INC |
| Practice Address |
2905 Guess Rd Suite 5 Durham NC 27705-2677 |
| Practice Telephone | 9196307103 |
| Mailing Telephone | 9196307103 |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |
| Authorized Official Name | CHERYL G MITCHELL (ADMINISTRATOR) |
| Authorized Official Telephone | 9196307103 |
| Authorized Official Credential | MSIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
NC | Nursing & Custodial Care Facilities |
| Street Address |
2905 GUESS RD SUITE 5 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1922570001 | Idella Wright Homes,llc | Custodial Care Facility | 822 Midway Ave, Durham, NC 27703-5128 | 2018-12-29 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1831641604 | Pp&v Health Care Solutions LLC | Custodial Care Facility | 4901 Paces Ferry Dr, Durham, NC 27712-4103 | 2016-10-27 |
| 1578915849 | Tender Mercies II | Custodial Care Facility | 1005 Horton Rd, Durham, NC 27704-1609 | 2016-07-11 |
| 1245628197 | Cjm Holdings LLC | Custodial Care Facility | 4111 Kismet Dr, Durham, NC 27705-2838 | 2014-12-30 |
| 1639575723 | Supreme Family Care Home | Custodial Care Facility | 1120 Benning St, Durham, NC 27703-1504 | 2014-11-17 |
| 1346645868 | Autumn's Way Care Home | Custodial Care Facility | 4811 Bay Point Dr, Durham, NC 27713-9413 | 2014-10-27 |
| 1245651843 | M&l Family Care | Custodial Care Facility | 2124 Strebor Street, Durham, NC 27705-2756 | 2013-12-27 |
| 1942544499 | Tonia Catrice Crawley | Custodial Care Facility | 1607 Amberly Dr, Durham, NC 27704-5109 | 2012-11-23 |
| Find all providers in DURHAM | ||||
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| 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.