Northside Group Home

LBN: Sophia B Pierce & Associates Inc
Northside Group Home is an health care organization with primary practice located at 3301 Barksdale Road , Fayetteville NC 28301. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Sophia B Pierce & Associates Inc can be contacted via phone (910) 822-4455, or through Pierce, Sophia Blanks via phone (910) 488-8477.

Contact Information

Primary practice address
3301 Barksdale Road Fayetteville NC 28301
Phone: (910) 822-4455
Fax: (910) 822-4455
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Sophia Blanks EDD
Phone: (910) 488-8477

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL026125 North Carolina

Profile Details

NPI number 1699850891
LBN Legal business name Sophia B Pierce & Associates Inc
DBA Doing business as Northside Group Home
Authorized official Pierce, Sophia Blanks EDD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Dec 3rd, 2018 - 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 1699850891 NPPES
North Carolina MEDICAID 3406042

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