Pigeon Valley Rest Home Llc

LBN: Pigeon Valley Rest Home Llc
Pigeon Valley Rest Home Llc is an health care organization with primary practice located at 55 Lake Dr , Canton NC 28716-9312. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Pigeon Valley Rest Home Llc can be contacted via phone (828) 648-2044, or through Leatherwood, Bobby N via phone (828) 648-2044.

Contact Information

Primary practice address
55 Lake Dr Canton NC 28716-9312
Phone: (828) 648-2044
Fax: (828) 648-2065
Website:
Map and Directions
Authorized official contact:
Name: Leatherwood, Bobby N
Phone: (828) 648-2044

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL044012 North Carolina

Profile Details

NPI number 1528051935
LBN Legal business name Pigeon Valley Rest Home Llc
DBA Doing business as
Authorized official Leatherwood, Bobby N
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Aug 22nd, 2020 - about 5 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 1528051935 NPPES
North Carolina MEDICAID 7801751

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