PINE FOREST REST INC NPI 1528242633

NPI Information

  • NPI: 1528242633
  • Provider Name: PINE FOREST REST, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 3277 NC 35
    POTECASI, NC
    ZIP 27867
  • Phone: (252) 587-1591

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NPI Details

PINE FOREST REST, INC is an assisted living facility in Potecasi, NC. The provider is 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. PINE FOREST REST, INC NPI is 1528242633. The provider is registered as an organization entity type.

The provider's business location address is:

3277 NC 35
POTECASI, NC
ZIP 27867-067
Phone: (252) 587-1591
Fax: (252) 587-1196

The provider's authorized official is Angela Johnson Taylor .
The authorized official title is Administrator and has the following contact phone number (252) 587-1591.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 12/26/2007.

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
1310400000XAssisted Living FacilityHAL-066-001NORTH 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: 3/30/2025

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