New-Lite Living Choices Tunstall Marvin Gen Ptr
LBN: New-Lite Living Choices Tunstall Marvin Gen Ptr
New-Lite Living Choices Tunstall Marvin Gen Ptr is an health care organization with primary practice located at 3634 Vest Mill Rd , Winston Salem NC 27103-2910. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty.
New-Lite Living Choices Tunstall Marvin Gen Ptr can be contacted via phone (704) 547-1900, or through Cahoon, Stephanie Foltz via phone (704) 906-8893.
Contact Information
Primary practice address
3634 Vest Mill Rd
Winston Salem NC 27103-2910
Phone: (704) 547-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8300407 | North Carolina |
| Agencies / Case Management | 251B00000X | 8300407 | North Carolina |
| Agencies / Community/Behavioral Health | 251S00000X | 8300407 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 6603599 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 6603600 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 6603994 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 6604265 | North Carolina |
Profile Details
| NPI number | 1114052123 |
|---|---|
| LBN Legal business name | New-Lite Living Choices Tunstall Marvin Gen Ptr |
| DBA Doing business as | |
| Authorized official | Cahoon, Stephanie Foltz |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Feb 3rd, 2009 - about 15 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 | 1114052123 | NPPES |
| North Carolina | MEDICAID | 8300407 | |
| North Carolina | MEDICAID | 8300407H | |
| North Carolina | MEDICAID | 8300407G |
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