Westside Residential

LBN: Community Innovations Inc
Westside Residential is an health care organization with primary practice located at 467 Creek Road , Orrum NC 28369-9269. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Community Innovations Inc can be contacted via phone (910) 618-0777, or through Jones, Harold E via phone (919) 256-0824.

Contact Information

Primary practice address
467 Creek Road Orrum NC 28369-9269
Phone: (910) 618-0777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Harold E
Phone: (919) 256-0824

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL078049 North Carolina

Profile Details

NPI number 1841375102
LBN Legal business name Community Innovations Inc
DBA Doing business as Westside Residential
Authorized official Jones, Harold E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 26th, 2007 - 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 1841375102 NPPES
North Carolina MEDICAID 340602M

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