COUNTRY PINES #2
NPI 1588873764
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lagrange, NC

Active since May 22, 2007
2600 N BESTON RD, LAGRANGE, NC 28551(919) 778-1244 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Country Pines #2 NPPES

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

COUNTRY PINES #2 (NPI 1588873764) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Lagrange, 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

NPI1588873764
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCOUNTRY PINES INC
Location Address2600 N BESTON RDLagrange, NC 28551-8627
Mailing Address2307 N Beston RdLagrange, NC 28551-8627 · (919) 778-4009 · Fax (919) 778-4009
Organization SubpartNo
Authorized OfficialKenneth Michael SaulsVice President · (919) 778-4009
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1588873764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL096115
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.
2600 N BESTON RD, Lagrange, NC 28551

Other Names 1

Other NameCountry Pines #2

Other Identifiers 1

Medicaid7804004NC

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 1588873764. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is also known as Country Pines #2.

Where is Country Pines Inc located?

Country Pines Inc is located at 2600 N Beston Rd, Lagrange, NC 28551. The listed phone number is (919) 778-1244.

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 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.