Falcon Crest Residential Care

LBN: Falcon Crest Residential Care
Falcon Crest Residential Care is an health care organization with primary practice located at 2094 Haith-Fuller Trail , Mebane NC 27302. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 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
2094 Haith-Fuller Trail Mebane NC 27302
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
Agencies / Community/Behavioral Health 251S00000X MHL-001-141 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-001-141 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-001-141 North Carolina

Profile Details

NPI number 1306284195
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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306284195 NPPES
North Carolina MEDICAID 6603998

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