Gullatte Enterprises

LBN: Greene Haven Family Care Home
Gullatte Enterprises is an health care organization with primary practice located at 1833 Stony Point Rd , Shelby NC 28150-9601. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Greene Haven Family Care Home can be contacted via phone (704) 487-0063, or through Gullatte, Latarsha Roseboro via phone (704) 487-0063.

Contact Information

Primary practice address
1833 Stony Point Rd Shelby NC 28150-9601
Fax: (704) 482-8001
Website:
Authorized official contact:
Name: Gullatte, Latarsha Roseboro

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-023-009 North Carolina

Profile Details

NPI number 1124234166
LBN Legal business name Greene Haven Family Care Home
DBA Doing business as Gullatte Enterprises
Authorized official Gullatte, Latarsha Roseboro
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Sep 24th, 2007 - about 17 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 1124234166 NPPES
North Carolina MEDICAID 7804719

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