Cleveland Pines

LBN: The Charlotte-Mecklenburg Hospital Authority
Cleveland Pines is an health care organization with primary practice located at 1404 N Lafayette St , Shelby NC 28150-3406. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. The Charlotte-Mecklenburg Hospital Authority can be contacted via phone (980) 487-7439, or through Gombar, Greg A via phone (704) 355-2154.

Contact Information

Primary practice address
1404 N Lafayette St Shelby NC 28150-3406
Phone: (980) 487-7439
Fax: (980) 487-7416
Website:
Map and Directions
Authorized official contact:
Name: Gombar, Greg A
Phone: (704) 355-2154

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X North Carolina

Profile Details

NPI number 1538565338
LBN Legal business name The Charlotte-Mecklenburg Hospital Authority
DBA Doing business as Cleveland Pines
Authorized official Gombar, Greg A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2014
Last updated Nov 24th, 2014 - about 11 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 1538565338 NPPES
North Carolina MEDICAID 3405282

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