Gary Cowan Group Home
LBN: Gha Autism Supports
Gary Cowan Group Home is an health care organization with primary practice located at 510 N. Fourth Street , Albemarle NC 28001-4062. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty.
Gha Autism Supports can be contacted via phone (704) 982-9600, or through Allen, Dawn Harwood via phone (704) 982-9600.
Contact Information
Primary practice address
510 N. Fourth Street
Albemarle NC 28001-4062
Phone: (704) 982-9600
Fax: (704) 982-8155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1508920463 |
|---|---|
| LBN Legal business name | Gha Autism Supports |
| DBA Doing business as | Gary Cowan Group Home |
| Authorized official | Allen, Dawn Harwood |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508920463 | NPPES |
| North Carolina | MEDICAID | 3408844 |
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