Homestead Place

LBN: Homestead Place
Homestead Place is an health care organization with primary practice located at 2032 Homestead Place , Chapel Hill NC 27516-9076. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Homestead Place can be contacted via phone (919) 240-5016, or through Mitchell, Derek via phone (336) 273-2640.

Contact Information

Primary practice address
2032 Homestead Place Chapel Hill NC 27516-9076
Phone: (919) 240-5016
Fax: (336) 273-6522
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Derek BS, QP
Phone: (336) 273-2640

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X MHL-068-139 North Carolina

Profile Details

NPI number 1740424639
LBN Legal business name Homestead Place
DBA Doing business as
Authorized official Mitchell, Derek BS, QP
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Apr 2nd, 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 1740424639 NPPES
North Carolina MEDICAID 7806104

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