Extended Care Service

LBN: Extended Care Service
Extended Care Service is an health care organization with primary practice located at 1084 Fuller Road , Louisburg NC 27549-7709. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Extended Care Service can be contacted via phone (919) 496-2958, or through Jones, Dian Foster via phone (919) 496-2958.

Contact Information

Primary practice address
1084 Fuller Road Louisburg NC 27549-7709
Phone: (919) 496-2958
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Dian Foster
Phone: (919) 496-2958

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-035-017 North Carolina

Profile Details

NPI number 1518146158
LBN Legal business name Extended Care Service
DBA Doing business as
Authorized official Jones, Dian Foster
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2007
Last updated Oct 31st, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518146158 NPPES
North Carolina MEDICAID 7803501

Popular Providers