Echo Trail Group Home

LBN: Echo Trail Group Home
Echo Trail Group Home is an health care organization with primary practice located at 1930 Echo Trl , Pfafftown NC 27040-9518. 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. Echo Trail Group Home can be contacted via phone (336) 924-6649, or through Cahoon, Stephanie via phone (704) 906-8893.

Contact Information

Primary practice address
1930 Echo Trl Pfafftown NC 27040-9518
Phone: (336) 924-6649
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cahoon, Stephanie
Phone: (704) 906-8893

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1457528788
LBN Legal business name Echo Trail Group Home
DBA Doing business as
Authorized official Cahoon, Stephanie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 15th, 2008
Last updated May 15th, 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 1457528788 NPPES
North Carolina MEDICAID 6604265

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