Ethel'S Family Care Home

LBN: Ethel'S Family Care Home
Ethel'S Family Care Home is an health care organization with primary practice located at 3825 Polkville Rd , Shelby NC 28150-8687. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Ethel'S Family Care Home can be contacted via phone (704) 482-0596, or through Wellmon, Ethel via phone (704) 482-0596.

Contact Information

Primary practice address
3825 Polkville Rd Shelby NC 28150-8687
Phone: (704) 482-0596
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wellmon, Ethel
Phone: (704) 482-0596

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X FCL023005 North Carolina

Profile Details

NPI number 1790819357
LBN Legal business name Ethel'S Family Care Home
DBA Doing business as
Authorized official Wellmon, Ethel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jun 12th, 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 1790819357 NPPES
North Carolina MEDICAID 7801056

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