Shadowridge Retreat
LBN: F.A.C.T. Specialized Services, Inc.
Shadowridge Retreat is an health care organization with primary practice located at 107 Silverleaf Dr , Jacksonville NC 28546-7360. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
F.A.C.T. Specialized Services, Inc. can be contacted via phone (910) 577-4568, or through Aschbrenner, Lorna Kathleen via phone (910) 346-3744.
Contact Information
Primary practice address
107 Silverleaf Dr
Jacksonville NC 28546-7360
Phone: (910) 577-4568
Fax: (910) 577-4568
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL067101 | North Carolina |
Profile Details
NPI number | 1538244074 |
---|---|
LBN Legal business name | F.A.C.T. Specialized Services, Inc. |
DBA Doing business as | Shadowridge Retreat |
Authorized official | Aschbrenner, Lorna Kathleen |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 25th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538244074 | NPPES |
North Carolina | MEDICAID | 6603168 |
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