COUNTRY PINES GC
NPI 1467672535
Community Based Residential Treatment Facility, Mental Illness in La Grange, NC

Q: What is Country Pines Inc's NPI number?

The NPI number for Country Pines Inc is 1467672535. It was assigned to this organization in the NPPES registry on April 30, 2007. The provider is also known as Country Pines Gc.

Q: What is Country Pines Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Country Pines Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 30, 2007

2308 OAKDALE RD, LA GRANGE, NC 28551(252) 747-4868 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Country Pines Gc NPPES

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

COUNTRY PINES GC (NPI 1467672535) is a healthcare organization registered as a community based residential treatment facility, mental illness in La Grange, North Carolina and active in the NPI registry since April 2007. The organization lists Kenneth Michael Sauls, Vice President, as its authorized official.

NPPES Registry Identity

NPI1467672535

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameCOUNTRY PINES INC

Location Address2308 OAKDALE RDLa Grange, NC 28551-8627

Mailing Address2307 N Beston RdLagrange, NC 28551-8627 · (919) 778-4009 · Fax (919) 778-4009

Phone(252) 747-4868

Organization SubpartNo

Authorized OfficialKenneth Michael SaulsVice President · (919) 778-4009

Enumeration DateApril 30, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1467672535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in NC · MHL040014

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2308 OAKDALE RD, La Grange, NC 28551

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Other Names 1

Other NameCountry Pines Gc

Other Identifiers 1

Medicaid7804005NC

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 Pines Inc's NPI number?

The NPI number for Country Pines Inc is 1467672535. It was assigned to this organization in the NPPES registry on April 30, 2007. The provider is also known as Country Pines Gc.

Where is Country Pines Inc located?

Country Pines Inc is located at 2308 Oakdale Rd, La Grange, NC 28551. The listed phone number is (252) 747-4868.

What is Country Pines Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Country Pines Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.