COUNTRY LAYNE, LLC
NPI 1245382092
Day Training, Developmentally Disabled Services in Pembroke, NC

Q: What is Country Layne, LLC's NPI number?

The NPI number for Country Layne, LLC is 1245382092. It was assigned to this organization in the NPPES registry on January 18, 2007.

Q: What is Country Layne, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since January 18, 2007

42 THREE HUNT'S DR, PEMBROKE, NC 28372(910) 740-3575(910) 521-7435 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Country Layne, Llc NPPES

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

COUNTRY LAYNE, LLC (NPI 1245382092) is a healthcare organization registered as a day training, developmentally disabled services in Pembroke, North Carolina and active in the NPI registry since January 2007. The organization lists Andetra M Sampson, Owner, as its authorized official.

NPPES Registry Identity

NPI1245382092

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameCOUNTRY LAYNE, LLC

Location Address42 THREE HUNT'S DRPembroke, NC 28372-8998

Mailing AddressPo Box 270Pembroke, NC 28372-0270 · (910) 740-3575 · Fax (910) 521-7435

Phone(910) 740-3575

Fax(910) 521-7435

Organization SubpartNo

Authorized OfficialAndetra M SampsonOwner · (910) 740-3575

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJanuary 30, 2009

✔ NPI 1245382092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Licenses✔ Licensed in NC · MHL078153✔ Licensed in NC · MHI078153

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

42 THREE HUNT'S DR, Pembroke, NC 28372

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Other Identifiers 2

Medicaid8301032RNC

Medicaid8301032NC

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 Country Layne, LLC's NPI number?

The NPI number for Country Layne, LLC is 1245382092. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Country Layne, LLC located?

Country Layne, LLC is located at 42 Three Hunt's Dr, Pembroke, NC 28372. The listed phone number is (910) 740-3575.

What is Country Layne, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Country Layne, LLC was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.