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PINE FORREST RESIDENTIAL CARE
NPI 1902020662
Residential Treatment Facility, Emotionally Disturbed Children in Mocksville, NC

Active since April 12, 2007
4190 NC HIGHWAY 801 N, MOCKSVILLE, NC 27028(336) 998-3480(336) 998-0177 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Forrest Residential Care NPPES

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

PINE FORREST RESIDENTIAL CARE (NPI 1902020662) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Mocksville, North Carolina and active in the NPI registry since April 2007. The organization lists Emanuel Eugene Bonaparte, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902020662
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePINE FORREST FARM INC
Location Address4190 NC HIGHWAY 801 NMocksville, NC 27028-6234
Mailing Address4190 Nc Highway 801 NMocksville, NC 27028-6234 · (336) 998-3480 · Fax (336) 998-0177
Phone(336) 998-3480
Fax(336) 998-0177
Organization SubpartNo
Authorized OfficialEmanuel Eugene BonaparteExecutive Director · (828) 615-7030
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902020662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL030028
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
4190 NC HIGHWAY 801 N, Mocksville, NC 27028
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Other Names 1

Doing Business AsPine Forrest Residential Care

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 Pine Forrest Farm Inc's NPI number?

The NPI number for Pine Forrest Farm Inc is 1902020662. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as Pine Forrest Residential Care.

Where is Pine Forrest Farm Inc located?

Pine Forrest Farm Inc is located at 4190 Nc Highway 801 N, Mocksville, NC 27028. The listed phone number is (336) 998-3480.

What is Pine Forrest Farm Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Pine Forrest Farm 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 5 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.