Penick Village Inc
NPI 1780693663 · Skilled Nursing Facility · Southern Pines, NC
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Penick Village Inc is a Skilled Nursing Facility organization in Southern Pines, NC (NPI 1780693663).
Provider details
- NPI number
- 1780693663
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Mooney, Senior Director of Accounting(910) 692-0434
- License
- NH0127 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Former legal business name
- Episcopal Home for the Ageing in the Dioces of Nc
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2024-02-16
- Certified
- 2024-02-05
Frequently asked questions
- What is Penick Village Inc's NPI number?
- Penick Village Inc's National Provider Identifier (NPI) is 1780693663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penick Village Inc?
- Penick Village Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Penick Village Inc located?
- Penick Village Inc's practice location on file with NPPES is 401 E Rhode Island Ave, Southern Pines, NC 28387-4009.
- What is Penick Village Inc's phone number?
- The practice phone number listed in the NPPES registry for Penick Village Inc is (910) 692-0300.
- Does Penick Village Inc accept Medicare?
- Penick Village Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Penick Village Inc?
- The authorized official listed on Penick Village Inc's NPPES record is Christopher Mooney, Senior Director of Accounting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penick Village Inc's NPI active?
- Yes — Penick Village Inc's NPI (1780693663) is active in the NPPES registry as of the last update on 2024-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.