Carolina Choice Llc

LBN: Carolina Choice Llc
Carolina Choice Llc is an health care organization with primary practice located at 5353 Red Tip Rd Suite 111, Fayetteville NC 28314-1567. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Carolina Choice Llc can be contacted via phone (910) 485-0330, or through Simon, Donna via phone (252) 633-3855.

Contact Information

Primary practice address
5353 Red Tip Rd Suite 111 Fayetteville NC 28314-1567
Phone: (910) 485-0330
Fax: (910) 482-0330
Website:
Map and Directions
Authorized official contact:
Name: Simon, Donna
Phone: (252) 633-3855

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1215063276
LBN Legal business name Carolina Choice Llc
DBA Doing business as
Authorized official Simon, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Sep 17th, 2010 - about 14 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 1215063276 NPPES
North Carolina MEDICAID 8301024
North Carolina MEDICAID 8301024B
North Carolina MEDICAID 8301024H

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