Provider Demographics
NPI:1568654754
Name:HOPE MILLS RETIREMENT CENTER, INC.
Entity Type:Organization
Organization Name:HOPE MILLS RETIREMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:H
Authorized Official - Last Name:PINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-425-6306
Mailing Address - Street 1:PO BOX 533
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-0533
Mailing Address - Country:US
Mailing Address - Phone:910-425-6303
Mailing Address - Fax:910-425-6799
Practice Address - Street 1:4217 ELK RD
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-8483
Practice Address - Country:US
Practice Address - Phone:910-425-6303
Practice Address - Fax:910-425-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL026008310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7801655Medicaid