Grantham Family Care Home 2

LBN: Grantham Family Care Home 2
Grantham Family Care Home 2 is an health care organization with primary practice located at 107 N Georgia Ave , Goldsboro NC 27530-3531. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Grantham Family Care Home 2 can be contacted via phone (919) 735-2121, or through Grantham, Charles L via phone (919) 735-2121.

Contact Information

Primary practice address
107 N Georgia Ave Goldsboro NC 27530-3531
Fax:
Website:
Authorized official contact:
Name: Grantham, Charles L

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X FCL096009 North Carolina

Profile Details

NPI number 1235314774
LBN Legal business name Grantham Family Care Home 2
DBA Doing business as
Authorized official Grantham, Charles L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Jun 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235314774 NPPES
North Carolina MEDICAID 7802189

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