Queen'S Pond

LBN: Carobell, Inc.
Queen'S Pond is an health care organization with primary practice located at 561 Queen'S Creek Road , Hubert NC 28539. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Carobell, Inc. can be contacted via phone (910) 326-7600, or through Phillips, Sebrina L via phone (919) 436-4001.

Contact Information

Primary practice address
561 Queen'S Creek Road Hubert NC 28539
Phone: (910) 326-7600
Fax: (910) 326-9988
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Sebrina L Master of Arts (MA)
Phone: (919) 436-4001

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1366596652
LBN Legal business name Carobell, Inc.
DBA Doing business as Queen'S Pond
Authorized official Phillips, Sebrina L Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Apr 21st, 2022 - about 2 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 1366596652 NPPES
North Carolina MEDICAID 3406496

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