Coltranes Group Home
LBN: Coltranes Group Home
Coltranes Group Home is an health care organization with primary practice located at 3811 Repon St , Greensboro NC 27407-5536. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Coltranes Group Home can be contacted via phone (336) 299-9757, or through Coltrane, Lathay Lorraine via phone (336) 299-9757.
Contact Information
Primary practice address
3811 Repon St
Greensboro NC 27407-5536
Phone: (336) 299-9757
Fax: (336) 299-1419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL-041-620 | North Carolina |
Profile Details
| NPI number | 1750576997 |
|---|---|
| LBN Legal business name | Coltranes Group Home |
| DBA Doing business as | |
| Authorized official | Coltrane, Lathay Lorraine |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Sep 11th, 2007 - about 18 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 | 1750576997 | NPPES |
| North Carolina | MEDICAID | 7804354 | |
| North Carolina | MEDICAID | 3408773 |
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