Healthcare Provider Details

I. General information

NPI: 1740173400
Provider Name (Legal Business Name): PAIN IN PROGRESSION CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 CHARLIE MARION RD
LILLINGTON NC
27546-6539
US

IV. Provider business mailing address

40 CURRIE DR
SPRING LAKE NC
28390-7920
US

V. Phone/Fax

Practice location:
  • Phone: 147-225-9987
  • Fax:
Mailing address:
  • Phone: 336-604-3199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PHYLLIS Q MCARTHUR
Title or Position: OWNER
Credential:
Phone: 336-604-3199