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PREMIER OPERATING COUNTRYSIDE VILLAGE LLC NPI 1467808329


NPI Information

NPI: 1467808329
Provider Name: PREMIER OPERATING COUNTRYSIDE VILLAGE, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
5383 US HIGHWAY 117 N
PIKEVILLE, NC
ZIP 27863
Phone: (919) 242-6369
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PREMIER OPERATING COUNTRYSIDE VILLAGE, LLC is an adult care home custodial care facility in Pikeville, NC. The provider is 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. PREMIER OPERATING COUNTRYSIDE VILLAGE, LLC NPI is 1467808329. The provider is registered as an organization entity type.

The provider's business location address is:

5383 US HIGHWAY 117 N
PIKEVILLE, NC
ZIP 27863-443
Phone: (919) 242-6369
Fax: (919) 242-9884

The provider's authorized official is Robert Borsody .
The authorized official title is Principal and has the following contact phone number (212) 739-0794.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/10/2016.


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 License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeNORTH CAROLINAYes

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: 5/5/2024

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