Holly Hills Group Home
LBN: Brushy Mountain Group Homes, Inc
Holly Hills Group Home is an health care organization with primary practice located at 179 Holly Brook St , North Wilkesboro NC 28659-8754. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Brushy Mountain Group Homes, Inc can be contacted via phone (336) 670-9352, or through Gamble, Shelley Darlene via phone (336) 838-3789.
Contact Information
Primary practice address
179 Holly Brook St
North Wilkesboro NC 28659-8754
Phone: (336) 670-9352
Fax: (336) 838-3490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL097045 | North Carolina |
Profile Details
| NPI number | 1205940129 |
|---|---|
| LBN Legal business name | Brushy Mountain Group Homes, Inc |
| DBA Doing business as | Holly Hills Group Home |
| Authorized official | Gamble, Shelley Darlene |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 19th, 2008 - about 17 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 | 1205940129 | NPPES |
| North Carolina | MEDICAID | 7804482 |
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