Leisure Home Life, Inc.

LBN: Leisure Home Life, Inc.
Leisure Home Life, Inc. is an health care organization with primary practice located at 800 E Saint John St , Tarboro NC 27886-4544. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Leisure Home Life, Inc. can be contacted via phone (252) 641-4107, or through Richardson, Tempsie D. via phone (252) 641-4107.

Contact Information

Primary practice address
800 E Saint John St Tarboro NC 27886-4544
Phone: (252) 641-4107
Fax: (252) 973-8599
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Tempsie D.
Phone: (252) 641-4107

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-033-003 North Carolina

Profile Details

NPI number 1063619724
LBN Legal business name Leisure Home Life, Inc.
DBA Doing business as
Authorized official Richardson, Tempsie D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1063619724 NPPES
North Carolina MEDICAID 780233

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