Green Beret Healthcare Agency, Inc

LBN: Green Beret Healthcare Agency, Inc
Green Beret Healthcare Agency, Inc is an health care organization with primary practice located at 1014 Harvest Grove Ct , Hope Mills NC 28348-9272. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is the primary health care specialty. Green Beret Healthcare Agency, Inc can be contacted via phone (910) 364-5219, or through Mack, Timmy via phone (910) 364-5219.

Contact Information

Primary practice address
1014 Harvest Grove Ct Hope Mills NC 28348-9272
Phone: (910) 364-5219
Fax: (866) 704-9129
Website:
Map and Directions
Authorized official contact:
Name: Mack, Timmy
Phone: (910) 364-5219

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1376006130
LBN Legal business name Green Beret Healthcare Agency, Inc
DBA Doing business as
Authorized official Mack, Timmy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2019
Last updated Apr 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376006130 NPPES
North Carolina MEDICAID 6602223

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