Rich Square Health Care Center

LBN: Rv Nursing Home, Llc
Rich Square Health Care Center is an health care organization with primary practice located at 320 North Main Street , Rich Square NC 27869-0560. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Rv Nursing Home, Llc can be contacted via phone (252) 539-4161, or through Johnson, James T via phone (252) 209-6834.

Contact Information

Primary practice address
320 North Main Street Rich Square NC 27869-0560
Fax: (252) 539-4361
Website:
Authorized official contact:
Name: Johnson, James T

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0045 North Carolina

Profile Details

NPI number 1336216779
LBN Legal business name Rv Nursing Home, Llc
DBA Doing business as Rich Square Health Care Center
Authorized official Johnson, James T
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 16th, 2007 - about 18 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 1336216779 NPPES
North Carolina Other 923433 FACILITY ID NUMBER
North Carolina MEDICAID 3425356 FACILITY ID NUMBER
North Carolina MEDICAID 3426020 FACILITY ID NUMBER

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