Edh1 Llc

LBN: Edh1 Llc
Edh1 Llc is an health care organization with primary practice located at 9027 Tibble Creek Way , Charlotte NC 28227-6670. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Managed Care Organizations / Exclusive Provider Organization. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Edh1 Llc can be contacted via phone (980) 297-0703, or through Hooper, Elston Derrek via phone (980) 297-0703.

Contact Information

Primary practice address
9027 Tibble Creek Way Charlotte NC 28227-6670
Phone: (980) 297-0703
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hooper, Elston Derrek
Phone: (980) 297-0703

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1942862552
LBN Legal business name Edh1 Llc
DBA Doing business as
Authorized official Hooper, Elston Derrek
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2019
Last updated Jul 3rd, 2019 - about 7 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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