Primary Hope Outreach Center Llc

LBN: Primary Hope Outreach Center Llc
Primary Hope Outreach Center Llc is an health care organization with primary practice located at 1724 Setter Dr , Burlington NC 27217-9444. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is the primary health care specialty. Primary Hope Outreach Center Llc can be contacted via phone (336) 417-4164, or through Pettiford, Rashaunda Lakei via phone (336) 417-4164.

Contact Information

Primary practice address
1724 Setter Dr Burlington NC 27217-9444
Phone: (336) 417-4164
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pettiford, Rashaunda Lakei
Phone: (336) 417-4164

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1033991906
LBN Legal business name Primary Hope Outreach Center Llc
DBA Doing business as
Authorized official Pettiford, Rashaunda Lakei
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2023
Last updated Nov 9th, 2023 - about last year

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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