One Love Developmental Services, Inc

LBN: One Love Developmental Services, Inc
One Love Developmental Services, Inc is an health care organization with primary practice located at 324 W Main Ave , Gastonia NC 28052-4113. The organization recently has 4 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. One Love Developmental Services, Inc can be contacted via phone (704) 642-0140, or through Wideman, Stevie via phone (704) 642-0140.

Contact Information

Primary practice address
324 W Main Ave Gastonia NC 28052-4113
Phone: (704) 642-0140
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wideman, Stevie
Phone: (704) 642-0140

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X North Carolina

Profile Details

NPI number 1831265180
LBN Legal business name One Love Developmental Services, Inc
DBA Doing business as
Authorized official Wideman, Stevie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Sep 10th, 2010 - about 14 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 1831265180 NPPES
North Carolina MEDICAID 6603307
North Carolina MEDICAID 6603555
North Carolina MEDICAID 6603717
North Carolina MEDICAID 6603804
North Carolina MEDICAID 8300947
North Carolina MEDICAID 3408216

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