Ccj Adult Care Llc

LBN: Ccj Adult Care Llc
Ccj Adult Care Llc is an health care organization with primary practice located at 1230 Saint Marks Church Rd , Crouse NC 28033-9600. 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 Llc can be contacted via phone (704) 769-4101, or through Hosch, Bernice R via phone (980) 295-3020.

Contact Information

Primary practice address
1230 Saint Marks Church Rd Crouse NC 28033-9600
Phone: (704) 769-4101
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 1063189678
LBN Legal business name Ccj Adult Care Llc
DBA Doing business as Ccj Adult Care Llc
Authorized official Hosch, Bernice R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2021
Last updated Aug 23rd, 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 1063189678 NPPES
North Carolina Other FCL-036-034 FAMILY CARE HOME

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