Classic Care Homes 105

LBN: Classic Care Homes 105
Classic Care Homes 105 is an health care organization with primary practice located at 105 Annie Parker Cir , Smithfield NC 27577-3968. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Classic Care Homes 105 can be contacted via phone (919) 934-8976, or through Hollamon, Diane via phone (919) 934-8976.

Contact Information

Primary practice address
105 Annie Parker Cir Smithfield NC 27577-3968
Fax: (919) 934-8976
Website:
Authorized official contact:
Name: Hollamon, Diane

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-051-020 North Carolina

Profile Details

NPI number 1437298783
LBN Legal business name Classic Care Homes 105
DBA Doing business as
Authorized official Hollamon, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1437298783 NPPES
North Carolina MEDICAID 7803023

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