Gavin & Downey Heavenly Living Home 1

LBN: Gavin & Downey Heavenly Living Home 1
Gavin & Downey Heavenly Living Home 1 is an health care organization with primary practice located at 426 Rooker Dairy Rd , Norlina NC 27563-9544. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Gavin & Downey Heavenly Living Home 1 can be contacted via phone (252) 456-9996, or through Gavin, Ann Lois via phone (252) 456-9996.

Contact Information

Primary practice address
426 Rooker Dairy Rd Norlina NC 27563-9544
Phone: (252) 456-9996
Fax: (252) 456-2027
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Ann Lois
Phone: (252) 456-9996

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL-093-036 North Carolina

Profile Details

NPI number 1114125622
LBN Legal business name Gavin & Downey Heavenly Living Home 1
DBA Doing business as
Authorized official Gavin, Ann Lois
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2007
Last updated Aug 28th, 2007 - about 17 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 1114125622 NPPES
North Carolina MEDICAID 7805804

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