Michael'S Place Inc.

LBN: Michael'S Place Inc.
Michael'S Place Inc. is an health care organization with primary practice located at 2815 Cascadilla St , Durham NC 27704-4411. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Private Vehicle. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Michael'S Place Inc. can be contacted via phone (919) 957-7985, or through Young, Alveth Joyce via phone (919) 957-7985.

Contact Information

Primary practice address
2815 Cascadilla St Durham NC 27704-4411
Phone: (919) 957-7985
Fax: (919) 957-7985
Website:
Map and Directions
Authorized official contact:
Name: Young, Alveth Joyce Doctor of Medicine (MD)
Phone: (919) 957-7985

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-032-415 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL-032-415 North Carolina
Transportation Services / Private Vehicle 347C00000X MHL-032-415 North Carolina

Profile Details

NPI number 1518153683
LBN Legal business name Michael'S Place Inc.
DBA Doing business as
Authorized official Young, Alveth Joyce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2007
Last updated Oct 27th, 2007 - about 17 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 1518153683 NPPES
North Carolina MEDICAID 6006190

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