Queens Group Home

LBN: Queens Group Home
Queens Group Home is an health care organization with primary practice located at 601 Eastern Ave , Rocky Mount NC 27801-5856. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Queens Group Home can be contacted via phone (919) 247-2312, or through Ngwadom, Ekelekamchukwu Alphonsus via phone (919) 247-2312.

Contact Information

Primary practice address
601 Eastern Ave Rocky Mount NC 27801-5856
Fax: (919) 329-7640
Website:
Authorized official contact:
Name: Ngwadom, Ekelekamchukwu Alphonsus LCMHC

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1780295055
LBN Legal business name Queens Group Home
DBA Doing business as
Authorized official Ngwadom, Ekelekamchukwu Alphonsus LCMHC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2020
Last updated Apr 2nd, 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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