Carolina Farms Group Home #2

LBN: Gha Autism Supports
Carolina Farms Group Home #2 is an health care organization with primary practice located at 31713 Herb Farm Circle , Albemarle NC 28001-6316. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 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
31713 Herb Farm Circle Albemarle NC 28001-6316
Fax: (704) 982-8155
Website:
Authorized official contact:
Name: Allen, Dawn Harwood

Profile Details

NPI number 1770658981
LBN Legal business name Gha Autism Supports
DBA Doing business as Carolina Farms Group Home #2
Authorized official Allen, Dawn Harwood
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 15th, 2015 - about 9 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 1770658981 NPPES
North Carolina MEDICAID 340614X

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