Irving Family Home

LBN: Irving Family Home
Irving Family Home is an health care organization with primary practice located at 112 Lance Ct , Jacksonville NC 28546-8640. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Irving Family Home can be contacted via phone (910) 455-1241, or through Irving, Victoria Ann via phone (910) 455-1241.

Contact Information

Primary practice address
112 Lance Ct Jacksonville NC 28546-8640
Phone: (910) 455-1241
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Irving, Victoria Ann
Phone: (910) 455-1241

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1831224849
LBN Legal business name Irving Family Home
DBA Doing business as Irving Family Home
Authorized official Irving, Victoria Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1831224849 NPPES
North Carolina MEDICAID 3409556

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