Successful Start Llc

LBN: Successful Start Llc
Successful Start Llc is an health care organization with primary practice located at 2309 Williams Ave , High Point NC 27262-3548. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Successful Start Llc can be contacted via phone (336) 886-5611, or through Greenaway, Khalid Tsalani via phone (336) 253-5286.

Contact Information

Primary practice address
2309 Williams Ave High Point NC 27262-3548
Fax: (336) 886-5616
Website:
Authorized official contact:
Name: Greenaway, Khalid Tsalani

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL-041-888 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-888 North Carolina

Profile Details

NPI number 1518105642
LBN Legal business name Successful Start Llc
DBA Doing business as
Authorized official Greenaway, Khalid Tsalani
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2009
Last updated Nov 17th, 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 1518105642 NPPES
North Carolina Other MHL-041-888 STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES LICENSURE NUMBER
North Carolina Other 080665 STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES LICENSURE NUMBER

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