Samual C. Evans Jr Group Home
LBN: Alleghany County Group Homes, Inc
Samual C. Evans Jr Group Home is an health care organization with primary practice located at 53 Estep Street , Sparta NC 28675. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty.
Alleghany County Group Homes, Inc can be contacted via phone (336) 372-5671, or through Douglas, Darlene via phone (336) 372-5671.
Contact Information
Primary practice address
53 Estep Street
Sparta NC 28675
Phone: (336) 372-5671
Fax: (336) 372-5672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL003007 | North Carolina |
Profile Details
| NPI number | 1437167798 |
|---|---|
| LBN Legal business name | Alleghany County Group Homes, Inc |
| DBA Doing business as | Samual C. Evans Jr Group Home |
| Authorized official | Douglas, Darlene MS |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jun 17th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437167798 | NPPES |
| North Carolina | MEDICAID | 7801839 |
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