Jefferson Care Home

LBN: Jefferson Care Home
Jefferson Care Home is an health care organization with primary practice located at 181 Staley Boswell Rd , Yanceyville NC 27379-8386. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Jefferson Care Home can be contacted via phone (336) 421-9468, or through Jefferson, Melinda Cox via phone (336) 421-9468.

Contact Information

Primary practice address
181 Staley Boswell Rd Yanceyville NC 27379-8386
Fax: (336) 421-5726
Website:
Authorized official contact:
Name: Jefferson, Melinda Cox

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X North Carolina

Profile Details

NPI number 1295854933
LBN Legal business name Jefferson Care Home
DBA Doing business as
Authorized official Jefferson, Melinda Cox
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1295854933 NPPES
North Carolina MEDICAID 7802009

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