Gaston Memorial Home Health Care/Med.Inc.

LBN: Gaston Memorial Home Health Care/Med.Inc.
Gaston Memorial Home Health Care/Med.Inc. is an health care organization with primary practice located at 200 E 2Nd Ave , Gastonia NC 28052-4358. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Suppliers / Durable Medical Equipment & Medical Supplies. Agencies / Home Health is the primary health care specialty. Gaston Memorial Home Health Care/Med.Inc. can be contacted via phone (704) 834-2025, or through Walters, Kimber Z via phone (704) 834-2025.

Contact Information

Primary practice address
200 E 2Nd Ave Gastonia NC 28052-4358
Phone: (704) 834-2025
Fax: (704) 834-2038
Website:
Map and Directions
Authorized official contact:
Name: Walters, Kimber Z
Phone: (704) 834-2025

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC0906 North Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1861490161
LBN Legal business name Gaston Memorial Home Health Care/Med.Inc.
DBA Doing business as
Authorized official Walters, Kimber Z
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1861490161 NPPES
North Carolina MEDICAID 7100452
North Carolina MEDICAID 3408315
North Carolina MEDICAID 3417131
North Carolina MEDICAID 6800451
North Carolina MEDICAID 6600071
North Carolina MEDICAID 7703688
North Carolina Other HC0906

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