Country Pines #2

LBN: Country Pines Inc
Country Pines #2 is an health care organization with primary practice located at 2600 N Beston Rd , Lagrange NC 28551-8627. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Country Pines Inc can be contacted via phone (919) 778-1244, or through Sauls, Kenneth Michael via phone (919) 778-4009.

Contact Information

Primary practice address
2600 N Beston Rd Lagrange NC 28551-8627
Phone: (919) 778-1244
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sauls, Kenneth Michael BS BUSINESS
Phone: (919) 778-4009

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL096115 North Carolina

Profile Details

NPI number 1588873764
LBN Legal business name Country Pines Inc
DBA Doing business as Country Pines #2
Authorized official Sauls, Kenneth Michael BS BUSINESS
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 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 1588873764 NPPES
North Carolina MEDICAID 7804004

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