PINEBROOK RESIDENTIAL CENTER 1
NPI 1184769317
Custodial Care Facility - Adult Care Home in Yadkinville, NC

Q: What is Pinebrook Residential Center 1's NPI number?

The NPI number for Pinebrook Residential Center 1 is 1184769317. It was assigned to this organization in the NPPES registry on February 21, 2007.

Q: What is Pinebrook Residential Center 1's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since February 21, 2007

312 HARRISON AVE, YADKINVILLE, NC 27055(828) 655-3222(336) 679-7500 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pinebrook Residential Center 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINEBROOK RESIDENTIAL CENTER 1 (NPI 1184769317) is a healthcare organization registered as an adult care home in Yadkinville, North Carolina and active in the NPI registry since February 2007. The organization lists Fred H. Leonard, President, as its authorized official.

NPPES Registry Identity

NPI1184769317

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NamePINEBROOK RESIDENTIAL CENTER 1

Location Address312 HARRISON AVEYadkinville, NC 27055-8247

Mailing AddressPo Box 760Yadkinville, NC 27055-0760 · (828) 655-3222 · Fax (336) 679-7500

Phone(828) 655-3222

Fax(336) 679-7500

Organization SubpartNo

Authorized OfficialFred H. LeonardPresident · (828) 655-3222

Enumeration DateFebruary 21, 2007

Last NPPES UpdateMay 6, 2016

✔ NPI 1184769317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · HAL-099-009

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

312 HARRISON AVE, Yadkinville, NC 27055

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRITY-CAROLINA PINES, LLC

Custodial Care Facility (Adult Care Home)

312 HARRISON AVE
YADKINVILLE, NC 27055

Yadkin County (336) 679-8671

INTEGRITY-PINEBROOK, LLC

Custodial Care Facility (Adult Care Home)

312 HARRISON AVE
YADKINVILLE, NC 27055

Yadkin County (336) 679-8671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinebrook Residential Center 1's NPI number?

The NPI number for Pinebrook Residential Center 1 is 1184769317. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Pinebrook Residential Center 1 located?

Pinebrook Residential Center 1 is located at 312 Harrison Ave, Yadkinville, NC 27055. The listed phone number is (828) 655-3222.

What is Pinebrook Residential Center 1's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Pinebrook Residential Center 1 was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.