Pride In North Carolina, Llc

LBN: Pride In North Carolina, Inc.
Pride In North Carolina, Llc is an health care organization with primary practice located at 1216 W Church St , Elizabeth City NC 27909-4612. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Pride In North Carolina, Inc. can be contacted via phone (252) 331-0322, or through Rutski, Jason via phone (910) 452-1460.

Contact Information

Primary practice address
1216 W Church St Elizabeth City NC 27909-4612
Phone: (252) 331-0322
Fax: (252) 331-0320
Website:
Map and Directions
Authorized official contact:
Name: Rutski, Jason
Phone: (910) 452-1460

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1891850194
LBN Legal business name Pride In North Carolina, Inc.
DBA Doing business as Pride In North Carolina, Llc
Authorized official Rutski, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Oct 4th, 2017 - about 8 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 1891850194 NPPES
North Carolina MEDICAID 6604040
North Carolina MEDICAID 6603947
North Carolina MEDICAID 6603973
North Carolina MEDICAID 6603852

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