The Radbourne Manor

LBN: 4C Company, Llc
The Radbourne Manor is an health care organization with primary practice located at 3505 Oriole Pl , Charlotte NC 28269-1214. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. 4C Company, Llc can be contacted via phone (704) 394-8968, or through Wigfall, Lisa via phone (704) 394-8968.

Contact Information

Primary practice address
3505 Oriole Pl Charlotte NC 28269-1214
Phone: (704) 394-8968
Fax: (704) 394-8967
Website:
Map and Directions
Authorized official contact:
Name: Wigfall, Lisa MSW
Phone: (704) 394-8968

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-060-115 North Carolina

Profile Details

NPI number 1366677692
LBN Legal business name 4C Company, Llc
DBA Doing business as The Radbourne Manor
Authorized official Wigfall, Lisa MSW
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2009
Last updated Sep 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366677692 NPPES
North Carolina MEDICAID 7806460
North Carolina MEDICAID 8301662
North Carolina MEDICAID 6006138
North Carolina MEDICAID 6601443
North Carolina MEDICAID 3408495

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