Jurney'S Of Statesville

LBN: Enterprise Healthcare Of Statesville
Jurney'S Of Statesville is an health care organization with primary practice located at 1942 Van Haven Dr , Statesville NC 28625-4365. 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. Enterprise Healthcare Of Statesville can be contacted via phone (704) 878-0046, or through Eller, Edward via phone (336) 998-5001.

Contact Information

Primary practice address
1942 Van Haven Dr Statesville NC 28625-4365
Phone: (704) 878-0046
Fax: (704) 878-9757
Website:
Map and Directions
Authorized official contact:
Name: Eller, Edward
Phone: (336) 998-5001

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL-049-015 North Carolina

Profile Details

NPI number 1417071457
LBN Legal business name Enterprise Healthcare Of Statesville
DBA Doing business as Jurney'S Of Statesville
Authorized official Eller, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1417071457 NPPES
North Carolina MEDICAID 7803811

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