Autumn Home Care Of Johnston Co., Inc. Iii

LBN: Autumn Home Care Of Johnston Co., Inc. Iii
Autumn Home Care Of Johnston Co., Inc. Iii is an health care organization with primary practice located at 474 Jerry Rd , Selma NC 27576-9248. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Autumn Home Care Of Johnston Co., Inc. Iii can be contacted via phone (919) 965-3455, or through White, Thomas Edward via phone (919) 965-3455.

Contact Information

Primary practice address
474 Jerry Rd Selma NC 27576-9248
Phone: (919) 965-3455
Fax: (919) 965-3455
Website:
Map and Directions
Authorized official contact:
Name: White, Thomas Edward
Phone: (919) 965-3455

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL051001 North Carolina

Profile Details

NPI number 1346372216
LBN Legal business name Autumn Home Care Of Johnston Co., Inc. Iii
DBA Doing business as
Authorized official White, Thomas Edward
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Oct 17th, 2012 - about 12 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 1346372216 NPPES
North Carolina MEDICAID 7806708

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