Garden Of Life, Inc

LBN: Garden Of Life, Inc
Garden Of Life, Inc is an health care organization with primary practice located at 8339 Fox Swamp Rd , Charlotte NC 28215-9011. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty. Garden Of Life, Inc can be contacted via phone (980) 309-6863, or through Hill, Deshall via phone (890) 309-6863.

Contact Information

Primary practice address
8339 Fox Swamp Rd Charlotte NC 28215-9011
Phone: (980) 309-6863
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hill, Deshall
Phone: (890) 309-6863

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1477174407
LBN Legal business name Garden Of Life, Inc
DBA Doing business as
Authorized official Hill, Deshall
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2020
Last updated Aug 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477174407 NPPES
North Carolina MEDICAID 171M00000X
North Carolina MEDICAID 225I0000X
North Carolina MEDICAID 251S00000X
North Carolina MEDICAID 106S0000X
North Carolina MEDICAID 251B00000X
North Carolina MEDICAID 302R0000X
North Carolina MEDICAID 1041I0000X
North Carolina MEDICAID 22420000X
North Carolina MEDICAID 2260000X
North Carolina MEDICAID 305R0000X
North Carolina MEDICAID 363L0000X
North Carolina MEDICAID 302F0000X
North Carolina MEDICAID 106H0000X
North Carolina MEDICAID 175T0000X
North Carolina MEDICAID 164W0000X

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