Poole Road Family Care

LBN: Eastern Regional Human Services
Poole Road Family Care is an health care organization with primary practice located at 5818 Poole Rd , Raleigh NC 27610-4522. 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. Eastern Regional Human Services can be contacted via phone (919) 212-6398, or through Lucas, Denise via phone (919) 212-6398.

Contact Information

Primary practice address
5818 Poole Rd Raleigh NC 27610-4522
Fax: (919) 212-6398
Website:
Authorized official contact:
Name: Lucas, Denise

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-092-080 North Carolina

Profile Details

NPI number 1851597165
LBN Legal business name Eastern Regional Human Services
DBA Doing business as Poole Road Family Care
Authorized official Lucas, Denise
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2007
Last updated Aug 6th, 2008 - about 16 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 1851597165 NPPES
North Carolina MEDICAID 7804590

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