Greene Haven Family Care Home

LBN: Ccj Adult Care Iii Llc
Greene Haven Family Care Home is an health care organization with primary practice located at 1833 Stoney Point Rd , Shelby NC 28150-9601. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Ccj Adult Care Iii Llc can be contacted via phone (980) 295-3020, or through Hosch, Bernice R via phone (980) 295-3020.

Contact Information

Primary practice address
1833 Stoney Point Rd Shelby NC 28150-9601
Phone: (980) 295-3020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hosch, Bernice R
Phone: (980) 295-3020

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1215604822
LBN Legal business name Ccj Adult Care Iii Llc
DBA Doing business as Greene Haven Family Care Home
Authorized official Hosch, Bernice R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2021
Last updated Sep 15th, 2021 - about 3 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 1215604822 NPPES
North Carolina Other FCL-023-055 FAMILY CARE HOME

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