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:
Map and Directions
Authorized official contact:
Name: Burrow, Kenneth Alan
Phone: (336) 495-2700

Health care specialties

SpecialtyCodeLicense #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 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 1164468104 NPPES
North Carolina MEDICAID 3408682
North Carolina MEDICAID 7801237

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