Lake James Lodge Assisted Living

LBN: Mizpah Healthcare, Inc
Lake James Lodge Assisted Living is an health care organization with primary practice located at 63 Lakeview Dr N , Marion NC 28752-8896. 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. Mizpah Healthcare, Inc can be contacted via phone (828) 652-3038, or through Childrey, Cathy via phone (910) 848-0694.

Contact Information

Primary practice address
63 Lakeview Dr N Marion NC 28752-8896
Phone: (828) 652-3038
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Childrey, Cathy Registered Nurse (RN)
Phone: (910) 848-0694

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-059-008 North Carolina

Profile Details

NPI number 1972638245
LBN Legal business name Mizpah Healthcare, Inc
DBA Doing business as Lake James Lodge Assisted Living
Authorized official Childrey, Cathy Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 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 1972638245 NPPES
North Carolina MEDICAID 7802946

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