October Road Inc.
LBN: October Road Inc.
October Road Inc. is an health care organization with primary practice located at 119 Tunnel Rd Ste B , Asheville NC 28805-1800. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
October Road Inc. can be contacted via phone (828) 350-1000, or through Hendricks, Jason via phone (814) 940-0407.
Contact Information
Primary practice address
119 Tunnel Rd Ste B
Asheville NC 28805-1800
Phone: (828) 350-1000
Fax: (828) 350-1300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MLH-011-272 | North Carolina |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1144375767 |
|---|---|
| LBN Legal business name | October Road Inc. |
| DBA Doing business as | |
| Authorized official | Hendricks, Jason |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Apr 10th, 2024 - about 7 months 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 | 1144375767 | NPPES |
| Other | MHL-011-272 | NC DHSR | |
| MEDICAID | 5905845 | NC DHSR | |
| MEDICAID | 6006159 | NC DHSR | |
| MEDICAID | 8703016 | NC DHSR | |
| MEDICAID | 3410004 | NC DHSR | |
| MEDICAID | 8305312 | NC DHSR |
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