Alberta Professional Services

LBN: Alberta Professional Services
Alberta Professional Services is an health care organization with primary practice located at 3107 S Elm Eugene St Building A, Greensboro NC 27406-5201. The organization recently has only one registered license in Respite Care Facility / Respite Care, which is considered as the primary health care specialty. Alberta Professional Services can be contacted via phone (336) 273-2640, or through Mitchell, Derek via phone (336) 273-2640.

Contact Information

Primary practice address
3107 S Elm Eugene St Building A Greensboro NC 27406-5201
Fax: (336) 273-6522
Website:
Authorized official contact:
Name: Mitchell, Derek BS, QP

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1194969998
LBN Legal business name Alberta Professional Services
DBA Doing business as
Authorized official Mitchell, Derek BS, QP
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Apr 2nd, 2015 - about 10 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 1194969998 NPPES
North Carolina MEDICAID 3418317

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