Safe Haven Home For Girls, Pllc

LBN: Safe Haven Home For Girls, Pllc
Safe Haven Home For Girls, Pllc is an health care organization with primary practice located at 9338 Ames Hollow Rd , Charlotte NC 28216-8787. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Safe Haven Home For Girls, Pllc can be contacted via phone (980) 201-1422, or through English, Kim R via phone (980) 201-1422.

Contact Information

Primary practice address
9338 Ames Hollow Rd Charlotte NC 28216-8787
Phone: (980) 201-1422
Fax: (980) 201-1422
Website:
Map and Directions
Authorized official contact:
Name: English, Kim R Family Nurse Practitioner (FNP)
Phone: (980) 201-1422

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004910 North Carolina

Profile Details

NPI number 1457698326
LBN Legal business name Safe Haven Home For Girls, Pllc
DBA Doing business as
Authorized official English, Kim R Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2013
Last updated Jan 17th, 2017 - about 7 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 1457698326 NPPES
North Carolina MEDICAID 7005736

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