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COUNTRY PINES #1
NPI 1497968762
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in La Grange, NC

Active since May 07, 2007
2307 N BESTON RD, LA GRANGE, NC 28551(919) 778-4009(919) 778-4009 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Pines #1 NPPES

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

COUNTRY PINES #1 (NPI 1497968762) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in La Grange, North Carolina and active in the NPI registry since May 2007. The organization lists Kenneth Michael Sauls, Vice President, as its authorized official.

NPPES Registry Identity

NPI1497968762
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCOUNTRY PINES INC
Location Address2307 N BESTON RDLa Grange, NC 28551-8627
Mailing Address2307 N Beston RdLa Grange, NC 28551-8627 · (919) 778-4009 · Fax (919) 778-4009
Phone(919) 778-4009
Fax(919) 778-4009
Organization SubpartNo
Authorized OfficialKenneth Michael SaulsVice President · (919) 778-4009
Enumeration DateMay 7, 2007
Last NPPES UpdateSeptember 4, 2007
✔ NPI 1497968762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL096117
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License MHL096117 (NC)
2307 N BESTON RD, La Grange, NC 28551
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Other Names 1

Other NameCountry Pines #1

Other Identifiers 3

Other8301207NC · Comm Support
Medicaid7804027NC
Other3409221NC · Cap

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 1497968762. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is also known as Country Pines #1.

Where is Country Pines Inc located?

Country Pines Inc is located at 2307 N Beston Rd, La Grange, NC 28551. The listed phone number is (919) 778-4009.

What is Country Pines Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Country Pines Inc was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.