Piedmont Pioneer House, Inc.

LBN: Piedmont Pioneer House, Inc.
Piedmont Pioneer House, Inc. is an health care organization with primary practice located at 910 Roberts Dr , Gastonia NC 28054-5804. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Piedmont Pioneer House, Inc. can be contacted via phone (704) 884-2700, or through Burton, Vonda Kaye via phone (704) 884-2701.

Contact Information

Primary practice address
910 Roberts Dr Gastonia NC 28054-5804
Phone: (704) 884-2700
Fax: (704) 854-4234
Website:
Map and Directions
Authorized official contact:
Name: Burton, Vonda Kaye QMHP, QDDP
Phone: (704) 884-2701

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-036-004 North Carolina

Profile Details

NPI number 1568526499
LBN Legal business name Piedmont Pioneer House, Inc.
DBA Doing business as
Authorized official Burton, Vonda Kaye QMHP, QDDP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Jun 18th, 2008 - 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 1568526499 NPPES
North Carolina MEDICAID 8301292

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