Linda Shorts Home

LBN: Linda Shorts Home
Linda Shorts Home is an health care organization with primary practice located at 106 Grantham Ln , Jacksonville NC 28546-8150. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Linda Shorts Home can be contacted via phone (910) 455-4480, or through Gibson, Linda E via phone (910) 455-6724.

Contact Information

Primary practice address
106 Grantham Ln Jacksonville NC 28546-8150
Phone: (910) 455-4480
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Linda E
Phone: (910) 455-6724

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X MHL067026 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL067026 North Carolina

Profile Details

NPI number 1316003668
LBN Legal business name Linda Shorts Home
DBA Doing business as
Authorized official Gibson, Linda E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Jun 24th, 2015 - about 9 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 1316003668 NPPES
North Carolina MEDICAID 3408956

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