Wickham Road Facility
LBN: Life, Inc.
Wickham Road Facility is an health care organization with primary practice located at 258 Wickham Rd , Shiloh NC 27974-7222. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Transportation Services / Non-emergency Medical Transport (VAN). Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty.
Life, Inc. can be contacted via phone (252) 336-4142, or through Walker, James via phone (919) 778-1900.
Contact Information
Primary practice address
258 Wickham Rd
Shiloh NC 27974-7222
Phone: (252) 336-4142
Fax: (252) 336-2372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | MHL-015-004 | North Carolina |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | MHL-015-004 | North Carolina |
Profile Details
| NPI number | 1356481220 |
|---|---|
| LBN Legal business name | Life, Inc. |
| DBA Doing business as | Wickham Road Facility |
| Authorized official | Walker, James |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Dec 15th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356481220 | NPPES |
| North Carolina | MEDICAID | 7805689 |
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