Broken Pieces Services Llc

LBN: Broken Pieces Services Llc
Broken Pieces Services Llc is an health care organization with primary practice located at 2020 Remount Rd , Gastonia NC 28054-7476. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care, Nursing Service Related Providers / Home Health Aide, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / Community/Behavioral Health is the primary health care specialty. Broken Pieces Services Llc can be contacted via phone (980) 355-3737, or through Russell, Marquita via phone (980) 258-9315.

Contact Information

Primary practice address
2020 Remount Rd Gastonia NC 28054-7476
Phone: (980) 355-3737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russell, Marquita
Phone: (980) 258-9315

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1265959100
LBN Legal business name Broken Pieces Services Llc
DBA Doing business as
Authorized official Russell, Marquita
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2017
Last updated Aug 15th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265959100 NPPES
North Carolina MEDICAID 00571688
North Carolina MEDICAID GP7951

Popular Providers