Benjamin House Community Services

LBN: Benjamin House, Inc.
Benjamin House Community Services is an health care organization with primary practice located at 848 Forest Park Road , Elizabeth City NC 27909-5461. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing & Custodial Care Facilities / Adult Care Home. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Benjamin House, Inc. can be contacted via phone (252) 331-7731, or through Hollowell, Jayne Jones via phone (252) 331-7731.

Contact Information

Primary practice address
848 Forest Park Road Elizabeth City NC 27909-5461
Fax: (252) 331-1777
Website:
Authorized official contact:
Name: Hollowell, Jayne Jones Bachelor of Arts (BA)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 3408242 North Carolina
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL-070-039 North Carolina

Profile Details

NPI number 1821159278
LBN Legal business name Benjamin House, Inc.
DBA Doing business as Benjamin House Community Services
Authorized official Hollowell, Jayne Jones Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 18th, 2016 - about 8 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 1821159278 NPPES
North Carolina MEDICAID 3408242

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