Providence Group Home
LBN: Therapeutic Alternatives Inc
Providence Group Home is an health care organization with primary practice located at 941 E Salisbury St , Asheboro NC 27203-5049. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty.
Therapeutic Alternatives Inc can be contacted via phone (336) 625-1500, or through Burrow, Kenneth Alan via phone (336) 495-2700.
Contact Information
Primary practice address
941 E Salisbury St
Asheboro NC 27203-5049
Phone: (336) 625-1500
Fax: (336) 625-2767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | MHL076047 | North Carolina |
Profile Details
| NPI number | 1164468104 |
|---|---|
| LBN Legal business name | Therapeutic Alternatives Inc |
| DBA Doing business as | Providence Group Home |
| Authorized official | Burrow, Kenneth Alan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jun 13th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164468104 | NPPES |
| North Carolina | MEDICAID | 3408682 | |
| North Carolina | MEDICAID | 7801237 |
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