Fisher Road Group Home

LBN: Fisher Road Group Home
Fisher Road Group Home is an health care organization with primary practice located at 120 Fisher Rd , Brevard NC 28712-3110. 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. Fisher Road Group Home can be contacted via phone (828) 884-8853, or through Stricker, Nancy B via phone (828) 884-3195.

Contact Information

Primary practice address
120 Fisher Rd Brevard NC 28712-3110
Phone: (828) 884-8853
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stricker, Nancy B
Phone: (828) 884-3195

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL088021 North Carolina

Profile Details

NPI number 1023498979
LBN Legal business name Fisher Road Group Home
DBA Doing business as
Authorized official Stricker, Nancy B
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 5th, 2015
Last updated Jun 5th, 2015 - about 10 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 1023498979 NPPES
North Carolina MEDICAID 3408915

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