PETTIFORD HOMES (NPI# 1124441050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124441050 |
| Entity Type | Organization |
| Organization Name | PETTIFORD HOMES |
| Practice Address |
315 Old Allensville Road Roxboro NC 27574 |
| Mailing Address |
Po Box 1659 Roxboro NC 27573-1659 |
| Practice Telephone | 3365999863 |
| Mailing Telephone | 3365999863 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | MRS. LISA SPENCER PETTIFORD (OWNER) |
| Authorized Official Telephone | 9193086672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MHL-073-066 | NC | Nursing & Custodial Care Facilities |
| Street Address |
315 OLD ALLENSVILLE ROAD |
| City | ROXBORO |
| State | NC |
| Zip Code | 27574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164990354 | Stacy Laughton Harris | Physical Therapist | Cambridge Hills Assisted Living, 5660 Durham Road, Roxboro, NC 27574 | 2018-11-06 |
| 1295114098 | Mcdaniel Homes, LLC | Day Training, Developmentally Disabled Services | 4694 Chubb Lake Road, Roxboro, NC 27574 | 2015-05-26 |
| 1851677546 | Devon Hartford Redmond | Psychologist | 205 Sage Rd. Ste. 201, Chapel Hill, NC 27574 | 2011-10-26 |
| 1639554751 | Seekingsolace, LLC | Clinic/Center | 102 South Main Street, 13, Roxboro, NC 27574 | 2015-07-30 |
| 1477797496 | Abigail Saylor Pressel | Psychologist | 205 Sage Rd, Ste 201, Chapel Hill, NC 27574 | 2009-04-21 |
| 1457403206 | James Russell Devillier | Pathology | 296 Denada Path, Roxboro, NC 27574-6306 | 2007-01-18 |
| 1992933071 | Shepherd Shield Services | Community/Behavioral Health | 200 Lawson Chapel Church Rd, Roxboro, NC 27574-6439 | 2009-06-26 |
| 1881922144 | Johnson Allied Health Services Inc | Home Health | 127 Christys Way, Roxboro, NC 27574-6988 | 2009-11-25 |
| 1720598832 | Therapeutic Health Services | Community Based Residential Treatment Facility, Mental Illness | 1148 Allensville Rd, Roxboro, NC 27574-7057 | 2017-10-03 |
| 1740692003 | When It Raines | Day Training, Developmentally Disabled Services | 1130 Allensville Rd, Roxboro, NC 27574-7057 | 2014-05-21 |
| Find all providers in zip 27574 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710007141 | Mary Rowe Fch #2 | Assisted Living Facility | 90 Clay Thomas Rd, Roxboro, NC 27573-2455 | 2007-03-30 |
| 1649390287 | Cambridge Hills Assisted Living Inc | Assisted Living Facility | 5660 Durham Rd, Roxboro, NC 27574-7958 | 2007-03-29 |
| 1437293594 | Golden Years Fch | Assisted Living Facility | 410 Montford Dr, Roxboro, NC 27573-4624 | 2007-02-20 |
| 1932209988 | Krram-z,llc | Assisted Living Facility | 2065 Chub Lake Road, Roxboro, NC 27573 | 2006-09-22 |
| 1811983919 | Person Health Management, LLC | Assisted Living Facility | 1284 Leasburg Rd, Roxboro, NC 27574-8485 | 2005-09-23 |
| 1104471531 | Liberty Healthcare Group, LLC | Assisted Living Facility | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2019-08-02 |
| 1275879926 | Wp-roxboro Health Holdings, LLC | Assisted Living Facility | 1284 Leasburg Rd, Roxboro, NC 27574-8485 | 2012-12-28 |
| 1821370354 | Alberta's Family Care Home | Assisted Living Facility | 710 N Main St, Roxboro, NC 27573-4754 | 2011-09-10 |
| 1871822841 | Roxboro Operating Al, LLC | Assisted Living Facility | 1284 Leasburg Rd, Roxboro, NC 27574-8485 | 2009-12-21 |
| 1205956737 | Mary Rowe Fch | Assisted Living Facility | 131 Academy St, Roxboro, NC 27573-5501 | 2007-03-29 |
| Find all providers in ROXBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.