Brookstone Terrace

LBN: Cmba Llc
Brookstone Terrace is an health care organization with primary practice located at 4430 Clinard Rd , Clemmons NC 27012-8487. 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. Cmba Llc can be contacted via phone (336) 766-5000, or through Dube, Sherry L via phone (336) 766-5000.

Contact Information

Primary practice address
4430 Clinard Rd Clemmons NC 27012-8487
Phone: (336) 766-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dube, Sherry L
Phone: (336) 766-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL034-080 North Carolina

Profile Details

NPI number 1730359357
LBN Legal business name Cmba Llc
DBA Doing business as Brookstone Terrace
Authorized official Dube, Sherry L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Mar 11th, 2008 - about 17 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 1730359357 NPPES
North Carolina MEDICAID 7803623

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