Jireh Haven

LBN: Trinity Will Group
Jireh Haven is an health care organization with primary practice located at 140 Faulkner Ln , Roseboro NC 28382-5415. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Trinity Will Group can be contacted via phone (910) 525-5035, or through Williams, Shirley Melinda via phone (910) 525-5035.

Contact Information

Primary practice address
140 Faulkner Ln Roseboro NC 28382-5415
Phone: (910) 525-5035
Fax: (910) 525-5065
Website:
Map and Directions
Authorized official contact:
Name: Williams, Shirley Melinda
Phone: (910) 525-5035

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL082046 North Carolina

Profile Details

NPI number 1053495523
LBN Legal business name Trinity Will Group
DBA Doing business as Jireh Haven
Authorized official Williams, Shirley Melinda
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Jan 2nd, 2008 - about 16 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 1053495523 NPPES
North Carolina MEDICAID 6603564

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