Everett Family Care Home

LBN: Everett Family Care Home
Everett Family Care Home is an health care organization with primary practice located at 402 Broad St , Aulander NC 27805. 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. Everett Family Care Home can be contacted via phone (252) 345-1452, or through Greene, Kennith Eden via phone (252) 345-1452.

Contact Information

Primary practice address
402 Broad St Aulander NC 27805
Phone: (252) 345-1452
Fax: (252) 345-1452
Website:
Map and Directions
Authorized official contact:
Name: Greene, Kennith Eden
Phone: (252) 345-1452

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FL008010 North Carolina

Profile Details

NPI number 1992903926
LBN Legal business name Everett Family Care Home
DBA Doing business as
Authorized official Greene, Kennith Eden
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Jul 11th, 2007 - about 17 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 1992903926 NPPES
North Carolina MEDICAID 7803179

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