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PENDER COUNTY DEPT OF SOCIAL SERVICES NPI 1356540637


NPI Information

NPI: 1356540637
Provider Name: PENDER COUNTY DEPT OF SOCIAL SERVICES
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 34D2286231

Address:
810 S WALKER ST
BURGAW, NC
ZIP 28425
Phone: (910) 259-1240
Get Directions

PENDER COUNTY DEPT OF SOCIAL SERVICES is a nursing care in Burgaw, NC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PENDER COUNTY DEPT OF SOCIAL SERVICES NPI is 1356540637. The provider is registered as an organization entity type.

The provider's business location address is:

810 S WALKER ST
BURGAW, NC
ZIP 28425-000
Phone: (910) 259-1240
Fax: (910) 259-1418

The provider's authorized official is Reta M Shiver .
The authorized official title is Director and has the following contact phone number (910) 259-1240.

The CLIA number assigned to this NPI record is 34D2286231 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 7/16/2007.


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
1251J00000XNursing CareHC0694NORTH CAROLINAYes

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
18700042MEDICAIDNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.