Stonesthrow Group Home

LBN: Stonesthrow Group Home
Stonesthrow Group Home is an health care organization with primary practice located at 3978 Lewiston Rd , Summerfield NC 27358-9211. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Stonesthrow Group Home can be contacted via phone (336) 644-9518, or through Mitchell, Derek via phone (336) 273-2640.

Contact Information

Primary practice address
3978 Lewiston Rd Summerfield NC 27358-9211
Phone: (336) 644-9518
Fax: (336) 273-6522
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Derek BS, QP
Phone: (336) 273-2640

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-553 North Carolina

Profile Details

NPI number 1518101401
LBN Legal business name Stonesthrow Group Home
DBA Doing business as
Authorized official Mitchell, Derek BS, QP
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Apr 23rd, 2009 - about 15 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 1518101401 NPPES
North Carolina MEDICAID 6603018

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