PRIDE IN NORTH CAROLINA, LLC
NPI 1821136581
Community/Behavioral Health in Jacksonville, NC

Active since February 02, 2007
110-B BRANCHWOOD DRIVE, JACKSONVILLE, NC 28546(910) 938-9833(910) 938-9835 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pride In North Carolina, Llc NPPES

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

PRIDE IN NORTH CAROLINA, LLC (NPI 1821136581), doing business as Pride In North Carolina, Inc, is a healthcare organization registered as a community/behavioral health in Jacksonville, North Carolina and active in the NPI registry since February 2007. The organization lists Jason Rutski, Director Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1821136581
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRIDE IN NORTH CAROLINA, LLC
Location Address110-B BRANCHWOOD DRIVEJacksonville, NC 28546-5900
Mailing Address231 Commerce StGreenville, NC 27858-5029 · (252) 321-8080 · Fax (252) 321-7999
Fax(910) 938-9835
Organization SubpartNo
Authorized OfficialJason RutskiDirector Of Business Operations · (910) 452-1460
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 4, 2017
NPI 1821136581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
110-B BRANCHWOOD DRIVE, Jacksonville, NC 28546

Other Names 1

Former Legal Business NamePride In North Carolina, Inc

Other Identifiers 3

Medicaid8300338NC
Medicaid8300338GNC
Medicaid8300338BNC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
110-B BRANCHWOOD DRIVE
JACKSONVILLE, NC 28546

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 Pride In North Carolina, LLC's NPI number?

The NPI number for Pride In North Carolina, LLC is 1821136581. It was assigned to this organization in the NPPES registry on February 2, 2007. The provider was formerly known as Pride In North Carolina, Inc.

Where is Pride In North Carolina, LLC located?

Pride In North Carolina, LLC is located at 110-B Branchwood Drive, Jacksonville, NC 28546. The listed phone number is (910) 938-9833.

What is Pride In North Carolina, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Pride In North Carolina, LLC was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.