Northwest Place

LBN: Vision Youth Group Home,Inc.
Northwest Place is an health care organization with primary practice located at 3415 Cottage Pl , Greensboro NC 27455-2019. 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. Vision Youth Group Home,Inc. can be contacted via phone (336) 288-7685, or through Guess, Jimmy via phone (336) 508-2203.

Contact Information

Primary practice address
3415 Cottage Pl Greensboro NC 27455-2019
Phone: (336) 288-7685
Fax: (336) 644-9254
Website:
Map and Directions
Authorized official contact:
Name: Guess, Jimmy MSW,LCSW
Phone: (336) 508-2203

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-147 North Carolina

Profile Details

NPI number 1235291923
LBN Legal business name Vision Youth Group Home,Inc.
DBA Doing business as Northwest Place
Authorized official Guess, Jimmy MSW,LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Jun 23rd, 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 1235291923 NPPES
North Carolina MEDICAID 6603097

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