Evans Forever Young Family Care Home

LBN: Evans Forever Young Family Care Home
Evans Forever Young Family Care Home is an health care organization with primary practice located at 3746 Danieley Water Wheel Rd , Burlington NC 27217-7925. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Evans Forever Young Family Care Home can be contacted via phone (336) 584-1968, or through Evans, Erma J via phone (336) 584-1968.

Contact Information

Primary practice address
3746 Danieley Water Wheel Rd Burlington NC 27217-7925
Phone: (336) 584-1968
Fax: (336) 584-4500
Website:
Map and Directions
Authorized official contact:
Name: Evans, Erma J
Phone: (336) 584-1968

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X FCL-001-051 North Carolina

Profile Details

NPI number 1376685800
LBN Legal business name Evans Forever Young Family Care Home
DBA Doing business as
Authorized official Evans, Erma J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 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 1376685800 NPPES
North Carolina MEDICAID 7801641

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