Sixth Street Dda Group Home

LBN: Sixth Street Dda Group Home
Sixth Street Dda Group Home is an health care organization with primary practice located at 313 E 6Th St , Burlington NC 27215-5732. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Sixth Street Dda Group Home can be contacted via phone (336) 222-1812, or through Torain, Curtis Eugene via phone (336) 222-1812.

Contact Information

Primary practice address
313 E 6Th St Burlington NC 27215-5732
Phone: (336) 222-1812
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Torain, Curtis Eugene
Phone: (336) 222-1812

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X DDL001024 North Carolina

Profile Details

NPI number 1508900457
LBN Legal business name Sixth Street Dda Group Home
DBA Doing business as
Authorized official Torain, Curtis Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1508900457 NPPES
North Carolina MEDICAID 7804366

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