Cedar Grove Group Homes, Inc.
LBN: Cedar Grove Group Homes, Inc.
Cedar Grove Group Homes, Inc. is an health care organization with primary practice located at 140 Country Run Ln , Goldsboro NC 27530-8901. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Cedar Grove Group Homes, Inc. can be contacted via phone (919) 738-1765, or through Jones, Wanda Williams via phone (919) 738-1765.
Contact Information
Primary practice address
140 Country Run Ln
Goldsboro NC 27530-8901
Phone: (919) 738-1765
Fax: (919) 751-0089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 8300945 | North Carolina |
Profile Details
| NPI number | 1063567188 |
|---|---|
| LBN Legal business name | Cedar Grove Group Homes, Inc. |
| DBA Doing business as | |
| Authorized official | Jones, Wanda Williams MHSA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063567188 | NPPES |
| North Carolina | MEDICAID | 3418140 | |
| North Carolina | MEDICAID | 7805605 | |
| North Carolina | MEDICAID | 7804842 | |
| North Carolina | MEDICAID | 8300945 |
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