Nllc

LBN: Divine Koncepts, Inc
Nllc is an health care organization with primary practice located at 451 Faith Dr Sw , Concord NC 28027-6929. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Divine Koncepts, Inc can be contacted via phone (704) 942-8410, or through Gibbs, T Shawn via phone (704) 942-8410.

Contact Information

Primary practice address
451 Faith Dr Sw Concord NC 28027-6929
Fax:
Website:
Authorized official contact:
Name: Gibbs, T Shawn

Profile Details

NPI number 1376710087
LBN Legal business name Divine Koncepts, Inc
DBA Doing business as Nllc
Authorized official Gibbs, T Shawn
Entity Organization
Organization subpart 1 Yes
Enumeration date May 12th, 2008
Last updated Mar 17th, 2018 - about 6 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 1376710087 NPPES
North Carolina MEDICAID 6603600
North Carolina MEDICAID 6603599

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