Victorian

LBN: Millenium Iv, Inc.
Victorian is an health care organization with primary practice located at 1107 Carthage St , Sanford NC 27330-4162. 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. Millenium Iv, Inc. can be contacted via phone (919) 774-8989, or through Gibson, Larry Steven via phone (919) 774-8989.

Contact Information

Primary practice address
1107 Carthage St Sanford NC 27330-4162
Phone: (919) 774-8989
Fax: (919) 776-1994
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Larry Steven
Phone: (919) 774-8989

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL053010 North Carolina

Profile Details

NPI number 1700912771
LBN Legal business name Millenium Iv, Inc.
DBA Doing business as Victorian
Authorized official Gibson, Larry Steven
Entity Organization
Organization subpart 1 No
Enumeration date Feb 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 1700912771 NPPES
North Carolina MEDICAID 7804097

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