South Haven Manor, Inc.

LBN: South Haven Manor, Inc.
South Haven Manor, Inc. is an health care organization with primary practice located at 114 Nursing Home Rd , Hertford NC 27944-8879. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. South Haven Manor, Inc. can be contacted via phone (434) 848-0294, or through Goldman-Owens, Gretchen via phone (434) 848-0294.

Contact Information

Primary practice address
114 Nursing Home Rd Hertford NC 27944-8879
Phone: (434) 848-0294
Fax: (434) 848-8302
Website:
Map and Directions
Authorized official contact:
Name: Goldman-Owens, Gretchen
Phone: (434) 848-0294

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL-072-006 North Carolina

Profile Details

NPI number 1811024698
LBN Legal business name South Haven Manor, Inc.
DBA Doing business as
Authorized official Goldman-Owens, Gretchen
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 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 1811024698 NPPES
North Carolina MEDICAID 7804235

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