Gary
LBN: Gary
Gary is an health care organization with primary practice located at 301 Mcauley Circle , Belmont NC 28012-0710. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty.
Gary can be contacted via phone (704) 825-4161, or through Childress, Shannon via phone (704) 825-4161.
Contact Information
Primary practice address
301 Mcauley Circle
Belmont NC 28012-0710
Phone: (704) 825-4161
Fax: (704) 825-0401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL-036-112 | North Carolina |
Profile Details
| NPI number | 1063747319 |
|---|---|
| LBN Legal business name | Gary |
| DBA Doing business as | |
| Authorized official | Childress, Shannon |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 5th, 2009 |
| Last updated | Aug 30th, 2017 - about 7 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 | 1063747319 | NPPES |
| North Carolina | Other | 1619310851 | STATE FUNDS |
| North Carolina | MEDICAID | 7803424 | STATE FUNDS |
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