<Unavail>

LBN: Footprints Carolina, Inc
<Unavail> is an health care organization with primary practice located at 2020 Remount Rd , Gastonia NC 28054-7437. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is the primary health care specialty. Footprints Carolina, Inc can be contacted via phone (704) 884-2554, or through Anderson, Richard via phone (704) 884-2500.

Contact Information

Primary practice address
2020 Remount Rd Gastonia NC 28054-7437
Phone: (704) 884-2554
Fax: (704) 524-2095
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Richard
Phone: (704) 884-2500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1265549828
LBN Legal business name Footprints Carolina, Inc
DBA Doing business as <Unavail>
Authorized official Anderson, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Dec 11th, 2009 - about 17 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 1265549828 NPPES
North Carolina MEDICAID 6005996
North Carolina MEDICAID 6005998
North Carolina MEDICAID 600599

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