Century Care Of The Crystal Coast, Inc

LBN: Century Care Of The Crystal Coast, Inc
Century Care Of The Crystal Coast, Inc is an health care organization with primary practice located at 4010 Bridges Street Extension , Morehead City NC 28557-4304. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Century Care Of The Crystal Coast, Inc can be contacted via phone (252) 726-0031, or through Gilliam, Robert E via phone (919) 467-8686.

Contact Information

Primary practice address
4010 Bridges Street Extension Morehead City NC 28557-4304
Phone: (252) 726-0031
Fax: (252) 726-5831
Website:
Map and Directions
Authorized official contact:
Name: Gilliam, Robert E
Phone: (919) 467-8686

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0227 North Carolina

Profile Details

NPI number 1851375703
LBN Legal business name Century Care Of The Crystal Coast, Inc
DBA Doing business as
Authorized official Gilliam, Robert E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 8th, 2008 - about 16 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 1851375703 NPPES
North Carolina MEDICAID 3435170
North Carolina MEDICAID 3436147
North Carolina Other 0080Q

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