Edenton Retirement Community, Llc
LBN: Edenton Retirement Community, Llc
Edenton Retirement Community, Llc is an health care organization with primary practice located at 106 Mark Dr , Edenton NC 27932-1756. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Edenton Retirement Community, Llc can be contacted via phone (252) 482-4491, or through Wilson, David Dean via phone (336) 495-2700.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | HAL-021-008 | North Carolina |
Profile Details
| NPI number | 1790001246 |
|---|---|
| LBN Legal business name | Edenton Retirement Community, Llc |
| DBA Doing business as | |
| Authorized official | Wilson, David Dean |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 8th, 2010 |
| Last updated | Jun 13th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790001246 | NPPES |
| North Carolina | MEDICAID | 7806302 |
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