Pine Haven Home Health Care Services Inc

LBN: Pine Haven Home Health Care Services Inc
Pine Haven Home Health Care Services Inc is an health care organization with primary practice located at 1108 N Herritage St , Kinston NC 28501-3834. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Pine Haven Home Health Care Services Inc can be contacted via phone (252) 523-1963, or through Russell, Evelyn J. via phone (252) 523-1963.

Contact Information

Primary practice address
1108 N Herritage St Kinston NC 28501-3834
Fax: (252) 523-1123
Website:
Authorized official contact:
Name: Russell, Evelyn J. Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC1411 North Carolina

Profile Details

NPI number 1861544579
LBN Legal business name Pine Haven Home Health Care Services Inc
DBA Doing business as
Authorized official Russell, Evelyn J. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
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 1861544579 NPPES
North Carolina MEDICAID 3408724
North Carolina MEDICAID 6600438
North Carolina MEDICAID 6600841
North Carolina MEDICAID 6600889

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