Piedmont Residential Development Center, Inc

LBN: Piedmont Residential Development Center, Inc
Piedmont Residential Development Center, Inc is an health care organization with primary practice located at 10100 Mount Olive Rd , Mount Pleasant NC 28124-8600. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Piedmont Residential Development Center, Inc can be contacted via phone (704) 788-2304, or through Lipke, Sharon A via phone (704) 788-2304.

Contact Information

Primary practice address
10100 Mount Olive Rd Mount Pleasant NC 28124-8600
Fax: (704) 788-2951
Website:
Authorized official contact:
Name: Lipke, Sharon A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL-013-018 North Carolina

Profile Details

NPI number 1265578355
LBN Legal business name Piedmont Residential Development Center, Inc
DBA Doing business as
Authorized official Lipke, Sharon A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 27th, 2012 - about 12 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 1265578355 NPPES
North Carolina MEDICAID 3406560

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