Falcon Crest Residential Care

LBN: Falcon Crest Residential Care
Falcon Crest Residential Care is an health care organization with primary practice located at 1101 S Fifth St , Mebane NC 27302-9182. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Falcon Crest Residential Care can be contacted via phone (336) 226-2575, or through Bradsher, Wendy Kay via phone (336) 226-2575.

Contact Information

Primary practice address
1101 S Fifth St Mebane NC 27302-9182
Phone: (336) 226-2575
Fax: (336) 226-2474
Website:
Map and Directions
Authorized official contact:
Name: Bradsher, Wendy Kay
Phone: (336) 226-2575

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 753096607 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-001-103 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-001-141 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-001-141 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-001-103 North Carolina

Profile Details

NPI number 1104944081
LBN Legal business name Falcon Crest Residential Care
DBA Doing business as
Authorized official Bradsher, Wendy Kay
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 21st, 2013 - about 11 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 1104944081 NPPES
North Carolina MEDICAID 6603770
North Carolina MEDICAID 6603998
North Carolina MEDICAID 6603415

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