Carolina Farms Group Home #3

LBN: Gha Autism Supports
Carolina Farms Group Home #3 is an health care organization with primary practice located at 31711 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
31711 Herb Farm Circle Albemarle NC 28001-6316
Phone: (704) 982-9600
Fax: (704) 982-8155
Website:
Map and Directions
Authorized official contact:
Name: Allen, Dawn Harwood
Phone: (704) 982-9600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL084061 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL084061 North Carolina
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X MHL084061 North Carolina

Profile Details

NPI number 1780759787
LBN Legal business name Gha Autism Supports
DBA Doing business as Carolina Farms Group Home #3
Authorized official Allen, Dawn Harwood
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 18th, 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 1780759787 NPPES
North Carolina MEDICAID 340615A

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