Kingsbridge House, Llc

LBN: Kingsbridge House, Llc
Kingsbridge House, Llc is an health care organization with primary practice located at 10 Sugarloaf Rd , Brevard NC 28712-8424. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Kingsbridge House, Llc can be contacted via phone (828) 884-6137, or through Hallman, Tina A via phone (828) 324-8898.

Contact Information

Primary practice address
10 Sugarloaf Rd Brevard NC 28712-8424
Fax: (828) 883-4625
Website:
Authorized official contact:
Name: Hallman, Tina A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL088002 North Carolina

Profile Details

NPI number 1487640504
LBN Legal business name Kingsbridge House, Llc
DBA Doing business as
Authorized official Hallman, Tina A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Aug 22nd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487640504 NPPES
North Carolina MEDICAID 7803702

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