Deerfield Ridge Assisted Living

LBN: Deerfield Ridge Assisted Living
Deerfield Ridge Assisted Living is an health care organization with primary practice located at 851 Old Winston Rd Ste 107 , Kernersville NC 27284-8781. 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. Deerfield Ridge Assisted Living can be contacted via phone (336) 993-7555, or through Quiring, Ken via phone (336) 993-1881.

Contact Information

Primary practice address
851 Old Winston Rd Ste 107 Kernersville NC 27284-8781
Fax:
Website:
Authorized official contact:
Name: Quiring, Ken

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL 095 008 North Carolina

Profile Details

NPI number 1679604607
LBN Legal business name Deerfield Ridge Assisted Living
DBA Doing business as
Authorized official Quiring, Ken
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1679604607 NPPES
North Carolina MEDICAID 7805332

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