Jefferson Family Care Home #4

LBN: Jefferson Family Care Home #4
Jefferson Family Care Home #4 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 Family Care Home #4 can be contacted via phone (336) 421-9468, or through Jefferson, Melinda via phone (336) 421-9468.

Contact Information

Primary practice address
181 Staley Boswell Rd Yanceyville NC 27379-8386
Phone: (336) 421-9468
Fax: (336) 421-5726
Website:
Map and Directions
Authorized official contact:
Name: Jefferson, Melinda
Phone: (336) 421-9468

Health care specialties

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

Profile Details

NPI number 1841319746
LBN Legal business name Jefferson Family Care Home #4
DBA Doing business as
Authorized official Jefferson, Melinda
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Aug 22nd, 2020 - 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 1841319746 NPPES
North Carolina MEDICAID 7802011

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