Pine Havenhome Health Care Services Inc.

LBN: Pine Havenhome Health Care Services Inc.
Pine Havenhome 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 Havenhome Health Care Services Inc. can be contacted via phone (252) 523-1963, or through Russell, Lee Bernard via phone (252) 523-1963.

Contact Information

Primary practice address
1108 N Herritage St Kinston NC 28501-3834
Phone: (252) 523-1963
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russell, Lee Bernard
Phone: (252) 523-1963

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1003087347
LBN Legal business name Pine Havenhome Health Care Services Inc.
DBA Doing business as
Authorized official Russell, Lee Bernard
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2008
Last updated Mar 14th, 2008 - about 17 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 1003087347 NPPES
North Carolina MEDICAID 6600841

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