OrganizationActive
Life St. Joseph of the Pines, Inc.
NPI 1750692620 · PACE Provider Organization · Fayetteville, NC
Life St. Joseph of the Pines, Inc. is a PACE Provider Organization organization in Fayetteville, NC (NPI 1750692620).
Provider details
- NPI number
- 1750692620
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Parent organization
- St Joseph of the Pines
- Organization subpart
- Yes
- Authorized official
- Robert Dickson, Executive Director(910) 429-7255
- License
- PENDING (NC)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4900 Raeford Rd
Fayetteville, NC 28304-3142
Phone: (910) 483-4911
Street-level locationGet directions
Mailing address
4900 Raeford Rd
Fayetteville, NC 28304-3142
Registry dates
- Enumerated
- 2010-06-25
- Last updated
- 2013-02-08
Frequently asked questions
- What is Life St. Joseph of the Pines, Inc.'s NPI number?
- Life St. Joseph of the Pines, Inc.'s National Provider Identifier (NPI) is 1750692620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life St. Joseph of the Pines, Inc.?
- Life St. Joseph of the Pines, Inc. is classified in the NPPES registry as PACE Provider Organization (Agencies).
- Where is Life St. Joseph of the Pines, Inc. located?
- Life St. Joseph of the Pines, Inc.'s practice location on file with NPPES is 4900 Raeford Rd, Fayetteville, NC 28304-3142.
- What is Life St. Joseph of the Pines, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Life St. Joseph of the Pines, Inc. is (910) 483-4911.
- Who is the authorized official for Life St. Joseph of the Pines, Inc.?
- The authorized official listed on Life St. Joseph of the Pines, Inc.'s NPPES record is Robert Dickson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life St. Joseph of the Pines, Inc.'s NPI active?
- Yes — Life St. Joseph of the Pines, Inc.'s NPI (1750692620) is active in the NPPES registry as of the last update on 2013-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.