Pine Acre Family Care Home #1

LBN: Pine Acre Family Care Home #1
Pine Acre Family Care Home #1 is an health care organization with primary practice located at 186 Pine Acres Ln , Clinton NC 28328-7390. 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. Pine Acre Family Care Home #1 can be contacted via phone (910) 592-1950, or through Mitchell, Christopher Harold via phone (910) 592-1950.

Contact Information

Primary practice address
186 Pine Acres Ln Clinton NC 28328-7390
Phone: (910) 592-1950
Fax: (910) 592-8880
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Christopher Harold ADMNISTRATOR
Phone: (910) 592-1950

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-082-011 North Carolina

Profile Details

NPI number 1295943140
LBN Legal business name Pine Acre Family Care Home #1
DBA Doing business as
Authorized official Mitchell, Christopher Harold ADMNISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Jul 3rd, 2008 - about 16 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 1295943140 NPPES
North Carolina MEDICAID 7803991

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