Croasdaile Village

LBN: The United Methodist Retirement Homes, Incorporated
Croasdaile Village is an health care organization with primary practice located at 2600 Croasdaile Farm Pkwy , Durham NC 27705-1331. 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 United Methodist Retirement Homes, Incorporated can be contacted via phone (919) 384-2000, or through Erickson, Jonathan P via phone (919) 384-3001.

Contact Information

Primary practice address
2600 Croasdaile Farm Pkwy Durham NC 27705-1331
Phone: (919) 384-2000
Fax: (919) 384-2480
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Jonathan P
Phone: (919) 384-3001

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0587 North Carolina

Profile Details

NPI number 1972587376
LBN Legal business name The United Methodist Retirement Homes, Incorporated
DBA Doing business as Croasdaile Village
Authorized official Erickson, Jonathan P
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 6th, 2017 - about 8 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 1972587376 NPPES
North Carolina MEDICAID 3405501
North Carolina MEDICAID 340612Y
North Carolina Other 00880

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