PETERKIN AND ASSOCIATES INC. NPI 1124227277

NPI Information

NPI: 1124227277
Provider Name: PETERKIN AND ASSOCIATES, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address: 118 E. ELIZABETH STREET
CLINTON, NC
ZIP 28328
Phone: (910) 590-2286

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NPI Details

PETERKIN AND ASSOCIATES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Clinton, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PETERKIN AND ASSOCIATES, INC. NPI is 1124227277. The provider is registered as an organization entity type.

The provider's business location address is:

118 E. ELIZABETH STREET
CLINTON, NC
ZIP 28328-018
Phone: (910) 590-2286
Fax: (910) 592-3217

The provider's authorized official is Alice D. Smith .
The authorized official title is Executive Director and has the following contact phone number (910) 323-1817.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 11/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
5	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8302100A	MEDICAID	NORTH CAROLINA
2	8302100P	MEDICAID	NORTH CAROLINA
3	8302100B	MEDICAID	NORTH CAROLINA
4	8302100	MEDICAID	NORTH CAROLINA
5	8302100Q	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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