Carolina Mountain Dda Group Home

LBN: Carolina Mountain Dda Group Home
Carolina Mountain Dda Group Home is an health care organization with primary practice located at 82 Daniel Ridge Road , Candler NC 28715. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Carolina Mountain Dda Group Home can be contacted via phone (828) 665-6578, or through Reece, Mildred L via phone (828) 665-6578.

Contact Information

Primary practice address
82 Daniel Ridge Road Candler NC 28715
Phone: (828) 665-6578
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reece, Mildred L
Phone: (828) 665-6578

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL-011-229 North Carolina

Profile Details

NPI number 1679778310
LBN Legal business name Carolina Mountain Dda Group Home
DBA Doing business as
Authorized official Reece, Mildred L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1679778310 NPPES
North Carolina MEDICAID 7804613

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