Creekside Villas

LBN: Earl Enterprises Inc
Creekside Villas is an health care organization with primary practice located at 465 Boyd Ave , Waynesville NC 28786-4317. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Earl Enterprises Inc can be contacted via phone (828) 456-9240, or through Reynolds, Jaci via phone (828) 456-8365.

Contact Information

Primary practice address
465 Boyd Ave Waynesville NC 28786-4317
Phone: (828) 456-9240
Fax: (828) 456-9012
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Jaci
Phone: (828) 456-8365

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL-044-044 North Carolina

Profile Details

NPI number 1477985893
LBN Legal business name Earl Enterprises Inc
DBA Doing business as Creekside Villas
Authorized official Reynolds, Jaci
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2013
Last updated Aug 8th, 2013 - about 12 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 1477985893 NPPES
North Carolina Other HAL-044-044 NC DHHS LICENSE:

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