Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Country Layne, LLC

Developmentally Disabled Services Day Training Agency in Pembroke, NC · enumerated 2007 · authorized official Andetra Sampson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245382092

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Country Layne, LLC

Practice address 42 Three Hunt'S Dr, Pembroke, NC, 28372

Phone (910) 740-3575

Fax (910) 521-7435

Enumeration date Jan 18, 2007

Last updated in NPPES Jan 30, 2009

Taxonomy & classification

251C00000X Developmentally Disabled Services Day Training Agency Agencies · License MHL078153 (NC) Primary

251C00000X Developmentally Disabled Services Day Training Agency Agencies · License MHI078153 (NC) Secondary

Authorized official

Name Andetra Sampson

Title Owner

Phone (910) 740-3575

Other identifiers

Identifier	Type	State	Issuer
8301032R	Medicaid	NC	-
8301032	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Country Layne, LLC located?

The practice location on file with NPPES is in Pembroke, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-01-30. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-30.