Country Time Inn Llc

LBN: Country Time Inn Llc
Country Time Inn Llc is an health care organization with primary practice located at 602 Brevard St , Kings Mountain NC 28086-8692. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Country Time Inn Llc can be contacted via phone (704) 739-2760, or through Trefzger, Charles E via phone (828) 322-5535.

Contact Information

Primary practice address
602 Brevard St Kings Mountain NC 28086-8692
Phone: (704) 739-2760
Fax: (704) 739-6252
Website:
Map and Directions
Authorized official contact:
Name: Trefzger, Charles E
Phone: (828) 322-5535

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL036018 North Carolina
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1538155643
LBN Legal business name Country Time Inn Llc
DBA Doing business as
Authorized official Trefzger, Charles E
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 28th, 2021 - 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 1538155643 NPPES
North Carolina MEDICAID 7805757

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