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PINE VALLEY ADULT CARE HOME
NPI 1982739488
Residential Treatment Facility, Physical Disabilities in Fayetteville, NC

Active since February 23, 2007
3522 CAMDEN RD, FAYETTEVILLE, NC 28306(910) 425-8954 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Residential Treatment Facility, Physical...

About PINE VALLEY ADULT CARE HOME

This page provides the complete NPI Profile along with additional information for Pine Valley Adult Care Home, a provider established in Fayetteville, North Carolina operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1982739488 assigned on February 2007. The practitioner's primary taxonomy code is 320700000X with license number HAL 026048 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Aretta Robinson (Administator)

NPI
1982739488 Verify this NPI
Provider Name
PINE VALLEY ADULT CARE HOME
Entity Type
Organization
Location Address
3522 CAMDEN RD FAYETTEVILLE, NC 28306
Location Phone
(910) 425-8954
Mailing Address
PO BOX 35534 FAYETTEVILLE, NC 28303
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License No.
HAL 026048
License State
NC
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ARETTA ROBINSON

Authorized Official Title
ADMINISTATOR
Authorized Official Phone
(910) 527-9898

Reviews for PINE VALLEY ADULT CARE HOME

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Frequently Asked Questions

What is PINE VALLEY ADULT CARE HOME's NPI number?

The NPI number assigned to this healthcare provider is 1982739488, enumerated as an "organization" on February 23, 2007.

Where is the provider located?

The provider is located at 3522 CAMDEN RD FAYETTEVILLE, NC 28306 and the phone number is (910) 425-8954.

What is the provider's specialty?

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.