Greater Image Healthcare, Corp

LBN: Greater Image Healthcare, Corp
Greater Image Healthcare, Corp is an health care organization with primary practice located at 401 Roberson Street , Fayetteville NC 28301-5423. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Agencies / Community/Behavioral Health is the primary health care specialty. Greater Image Healthcare, Corp can be contacted via phone (910) 321-0069, or through Johnson, Rodney via phone (910) 321-0069.

Contact Information

Primary practice address
401 Roberson Street Fayetteville NC 28301-5423
Phone: (910) 321-0069
Fax: (910) 491-1000
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Rodney
Phone: (910) 321-0069

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1255574034
LBN Legal business name Greater Image Healthcare, Corp
DBA Doing business as
Authorized official Johnson, Rodney
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2009
Last updated Jul 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255574034 NPPES
North Carolina MEDICAID 1457481988
North Carolina MEDICAID 8302847
North Carolina MEDICAID 1508996059
North Carolina MEDICAID 5919267
North Carolina MEDICAID 6008694

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