South Haven Long Term Care

LBN: Luby-Jay Inc
South Haven Long Term Care is an health care organization with primary practice located at 916 S Marietta St , Gastonia NC 28054-5405. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Luby-Jay Inc can be contacted via phone (704) 830-1101, or through Gause, Holly via phone (704) 830-1101.

Contact Information

Primary practice address
916 S Marietta St Gastonia NC 28054-5405
Phone: (704) 830-1101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gause, Holly
Phone: (704) 830-1101

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-036-005 North Carolina

Profile Details

NPI number 1518085935
LBN Legal business name Luby-Jay Inc
DBA Doing business as South Haven Long Term Care
Authorized official Gause, Holly
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 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 1518085935 NPPES
North Carolina MEDICAID 7801358

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