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:
Map and Directions
Authorized official contact:
Name: Lovelace, Shanita Registered Nurse (RN)
Phone: (336) 767-4540

Health care specialties

SpecialtyCodeLicense #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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