Grandfather Home Community Services For Children
LBN: Grandfather Home Community Services For Children
Grandfather Home Community Services For Children is an health care organization with primary practice located at 5560 Sturmer Park Cir , Winston Salem NC 27105-1372. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Grandfather Home Community Services For Children can be contacted via phone (828) 898-5465, or through Swinkola, Jim via phone (828) 898-5465.
Contact Information
Primary practice address
5560 Sturmer Park Cir
Winston Salem NC 27105-1372
Phone: (828) 898-5465
Fax: (828) 898-8513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL-034-015 | North Carolina |
Profile Details
| NPI number | 1588721591 |
|---|---|
| LBN Legal business name | Grandfather Home Community Services For Children |
| DBA Doing business as | |
| Authorized official | Swinkola, Jim MBA, MSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Feb 22nd, 2008 - about 16 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 | 1588721591 | NPPES |
| North Carolina | MEDICAID | 6603668 |
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