Chestnut Manor

LBN: Chestnut Manor
Chestnut Manor is an health care organization with primary practice located at 2018 Bivins St , Durham NC 27707-1404. 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. Chestnut Manor can be contacted via phone (919) 401-5781, or through Chestnut, Yolanda Denise via phone (919) 401-5781.

Contact Information

Primary practice address
2018 Bivins St Durham NC 27707-1404
Phone: (919) 401-5781
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chestnut, Yolanda Denise
Phone: (919) 401-5781

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 032339 North Carolina

Profile Details

NPI number 1437279551
LBN Legal business name Chestnut Manor
DBA Doing business as
Authorized official Chestnut, Yolanda Denise
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437279551 NPPES
North Carolina MEDICAID 7805149

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