Carolina Prime Residential Llc

LBN: Carolina Prime Residential Llc
Carolina Prime Residential Llc is an health care organization with primary practice located at 315 Maple St , Eden NC 27288-5513. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Carolina Prime Residential Llc can be contacted via phone (336) 623-1020, or through Simms, Mikisha via phone (301) 717-2040.

Contact Information

Primary practice address
315 Maple St Eden NC 27288-5513
Phone: (336) 623-1020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simms, Mikisha
Phone: (301) 717-2040

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1215545348
LBN Legal business name Carolina Prime Residential Llc
DBA Doing business as
Authorized official Simms, Mikisha
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2020
Last updated Apr 10th, 2024 - about 7 months 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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