Country Pines #1
LBN: Country Pines Inc
Country Pines #1 is an health care organization with primary practice located at 2307 N Beston Rd , La Grange NC 28551-8627. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Country Pines Inc can be contacted via phone (919) 778-4009, or through Sauls, Kenneth Michael via phone (919) 778-4009.
Contact Information
Primary practice address
2307 N Beston Rd
La Grange NC 28551-8627
Phone: (919) 778-4009
Fax: (919) 778-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL096117 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL096117 | North Carolina |
Profile Details
| NPI number | 1497968762 |
|---|---|
| LBN Legal business name | Country Pines Inc |
| DBA Doing business as | Country Pines #1 |
| Authorized official | Sauls, Kenneth Michael BS BUSINESS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Sep 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497968762 | NPPES |
| North Carolina | MEDICAID | 7804027 | |
| North Carolina | Other | 3409221 | |
| North Carolina | Other | 8301207 |
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