Classic Care Homes 103

LBN: Classic Care Homes 103
Classic Care Homes 103 is an health care organization with primary practice located at 103 Annie Parker Cir , Smithfield NC 27577-3970. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Classic Care Homes 103 can be contacted via phone (919) 934-8976, or through Hollamon, Diane via phone (919) 934-8976.

Contact Information

Primary practice address
103 Annie Parker Cir Smithfield NC 27577-3970
Phone: (919) 934-8976
Fax: (919) 934-8976
Website:
Map and Directions
Authorized official contact:
Name: Hollamon, Diane
Phone: (919) 934-8976

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-051-019 North Carolina

Profile Details

NPI number 1659418846
LBN Legal business name Classic Care Homes 103
DBA Doing business as
Authorized official Hollamon, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 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 1659418846 NPPES
North Carolina MEDICAID 7803022

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