PETERKIN & ASSOCIATES (NPI# 1356471874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356471874 |
| Entity Type | Organization |
| Organization Name | PETERKIN & ASSOCIATES |
| Practice Address |
1050 Hogan St Fayetteville NC 28311-2340 |
| Mailing Address |
131 Hay St Fayetteville NC 28301-5649 |
| Practice Telephone | 9104841869 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALLAN LIWANAG (BILLING SUPERVISOR) |
| Authorized Official Telephone | 9104830734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310400000X | Assisted Living Facility | MHL-026-017 | NC | Nursing & Custodial Care Facilities |
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | MHL-026-017 | NC | Nursing & Custodial Care Facilities |
| X | 315P00000X | Intermediate Care Facility, Mentally Retarded | MHL-026-017 | NC | Nursing & Custodial Care Facilities |
| X | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-026-017 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406442 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PETERKIN & ASSOCIATES | 222 Nw Irving Ave, Bend, OR 97703 |
| Street Address |
1050 HOGAN ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28311-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023450723 | Mid-state Health Systems, Inc | Intermediate Care Facility, Mentally Retarded | 1050 Hogan St, Fayetteville, NC 28311-2340 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
| 1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
| 1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
| 1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
| 1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
| 1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| 1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
| Find all providers in zip 28311 | ||||
| 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 |
|---|---|---|---|---|
| 1306383450 | Family First Operating, LLC | Assisted Living Facility | 113 Medical Center Blvd, Fayetteville, TN 37334-2685 | 2017-01-27 |
| 1235494246 | Phenix Enterprise Services, LLC | Assisted Living Facility | 180 Championship Ct, Fayetteville, GA 30215-8017 | 2012-07-06 |
| 1619274644 | Southern Manor Living Centers, LLC | Assisted Living Facility | 115 Medical Center Blvd, Fayetteville, TN 37334-2689 | 2011-02-28 |
| 1871723791 | Carillon Assisted Living of Fayetteville, LLC | Assisted Living Facility | 1164 71st School Rd, Fayetteville, NC 28314-2817 | 2009-07-27 |
| 1750517496 | Miracle Restoration | Assisted Living Facility | 4850 Old Savannah Church Rd, Fayetteville, NC 28312-9183 | 2009-06-09 |
| 1770737504 | Lauren & Londen, Inc. | Assisted Living Facility | 610 Mann St, Fayetteville, NC 28301-6240 | 2008-11-06 |
| 1003079872 | Valley Pines Adult Care | Assisted Living Facility | 2521 Muriel Dr, Fayetteville, NC 28306-3213 | 2008-07-02 |
| 1740466937 | Magnolia Lane LLC | Assisted Living Facility | 3510 Camden Rd, Fayetteville, NC 28306-7717 | 2008-01-17 |
| 1528189917 | Cedar Creek Assisted Living, LLC | Assisted Living Facility | 1124 Cedar Creek Rd, Fayetteville, NC 28312-6544 | 2007-04-03 |
| 1346370459 | Peterkin & Associates, Inc. | Assisted Living Facility | 7559 Decatur Dr, Fayetteville, NC 28303-1989 | 2007-03-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
Please comment or provide details below to improve the information on PETERKIN & ASSOCIATES.
| 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.