PRIDE IN NORTH CAROLINA LLC NPI 1821136581

NPI Information

  • NPI: 1821136581
  • Provider Name: PRIDE IN NORTH CAROLINA, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Former Legal Business Name: PRIDE IN NORTH CAROLINA, INC
  • Address: 110-B BRANCHWOOD DRIVE
    JACKSONVILLE, NC
    ZIP 28546
  • Phone: (910) 938-9833

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NPI Details

PRIDE IN NORTH CAROLINA, LLC is a community behavioral health in Jacksonville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PRIDE IN NORTH CAROLINA, LLC NPI is 1821136581. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Pride In North Carolina, Inc.

The provider's business location address is:

110-B BRANCHWOOD DRIVE
JACKSONVILLE, NC
ZIP 28546-900
Phone: (910) 938-9833
Fax: (910) 938-9835

The provider's authorized official is Jason Rutski .
The authorized official title is Director Of Business Operations and has the following contact phone number (910) 452-1460.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 10/4/2017.

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
1101YM0800XCounselorMental HealthNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3251S00000XCommunity/Behavioral HealthYes

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 Other Provider Identifier Issuer
18300338MEDICAIDNORTH CAROLINA
28300338GMEDICAIDNORTH CAROLINA
38300338BMEDICAIDNORTH 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: 11/21/2025

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