LISA PETTIFORD
NPI 1679768766
Custodial Care Facility - Adult Care Home in Durham, NC

Q: What is Lisa Pettiford's NPI number?

The NPI number for Lisa Pettiford is 1679768766. It was assigned to this organization in the NPPES registry on September 11, 2007.

Q: What is Lisa Pettiford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Pettiford was last updated on July 10, 2008. 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.

Active since September 11, 2007

2801 DARROW RD., DURHAM, NC 27704(919) 493-2100(919) 493-2112 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lisa Pettiford NPPES

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

LISA PETTIFORD (NPI 1679768766) is a healthcare organization registered as an adult care home in Durham, North Carolina and active in the NPI registry since September 2007. The organization lists Lisa Spencer Pettiford, Owner, as its authorized official.

NPPES Registry Identity

NPI1679768766

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameLISA PETTIFORD

Location Address2801 DARROW RD.Durham, NC 27704-0335

Mailing AddressPo Box 15535Durham, NC 27704-0535 · (919) 493-2100 · Fax (919) 493-2112

Phone(919) 493-2100

Fax(919) 493-2112

Organization SubpartNo

Authorized OfficialLisa Spencer PettifordOwner · (919) 599-3691

Enumeration DateSeptember 11, 2007

Last NPPES UpdateJuly 10, 2008

✔ NPI 1679768766 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 · 032-407

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.

2801 DARROW RD., Durham, NC 27704

Open in Google Maps ↗

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 Lisa Pettiford's NPI number?

The NPI number for Lisa Pettiford is 1679768766. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Lisa Pettiford located?

Lisa Pettiford is located at 2801 Darrow Rd., Durham, NC 27704. The listed phone number is (919) 493-2100.

What is Lisa Pettiford'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 Lisa Pettiford was last updated on July 10, 2008. 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.