Independent Living Group Home, Llc
LBN: Independent Living Group Home, Llc
Independent Living Group Home, Llc is an health care organization with primary practice located at 924 Cloister Dr , Winston Salem NC 27127. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty.
Independent Living Group Home, Llc can be contacted via phone (336) 767-4540, or through Lovelace, Shanita via phone (336) 767-4540.
Contact Information
Primary practice address
924 Cloister Dr
Winston Salem NC 27127
Phone: (336) 767-4540
Fax: (336) 283-9288
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Community/Behavioral Health | 251S00000X | ||
Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ||
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 034-224 | North Carolina |
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
NPI number | 1093991234 |
---|---|
LBN Legal business name | Independent Living Group Home, Llc |
DBA Doing business as | |
Authorized official | Lovelace, Shanita Registered Nurse (RN) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 17th, 2008 |
Last updated | Nov 18th, 2019 - about 6 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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