Falcon Crest Residential
LBN: Falcon Crest Residential
Falcon Crest Residential is an health care organization with primary practice located at 3309A N Nc Highway 49 , Burlington NC 27217. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty.
Falcon Crest Residential can be contacted via phone (336) 226-2575, or through Bradsher, Wendy K via phone (336) 226-2575.
Contact Information
Primary practice address
3309A N Nc Highway 49
Burlington NC 27217
Phone: (336) 226-2575
Fax: (336) 226-2474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | MHL-001-103 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 6603415 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL-001-103 | North Carolina |
Profile Details
| NPI number | 1851739643 |
|---|---|
| LBN Legal business name | Falcon Crest Residential |
| DBA Doing business as | |
| Authorized official | Bradsher, Wendy K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2013 |
| Last updated | May 14th, 2018 - about 6 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 | 1851739643 | NPPES |
| North Carolina | MEDICAID | 6603415 |
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