Piedmont Village At Statesville

LBN: Piedmont Village At Statesville, Inc.
Piedmont Village At Statesville is an health care organization with primary practice located at 1902 Ora Dr , Statesville NC 28625-6343. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Piedmont Village At Statesville, Inc. can be contacted via phone (704) 878-6376, or through Walczak, Paul via phone (561) 627-0664.

Contact Information

Primary practice address
1902 Ora Dr Statesville NC 28625-6343
Phone: (704) 878-6376
Fax: (704) 878-6787
Website:
Map and Directions
Authorized official contact:
Name: Walczak, Paul
Phone: (561) 627-0664

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-049-014 North Carolina

Profile Details

NPI number 1578583381
LBN Legal business name Piedmont Village At Statesville, Inc.
DBA Doing business as Piedmont Village At Statesville
Authorized official Walczak, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1578583381 NPPES
North Carolina MEDICAID 7803560

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