Destiny Homes Of Phyd, Inc.
LBN: Phyd, Inc. (Pretty Homes Youth Development)
Destiny Homes Of Phyd, Inc. is an health care organization with primary practice located at 1611 Poole Rd , Raleigh NC 27610-2658. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Phyd, Inc. (Pretty Homes Youth Development) can be contacted via phone (919) 713-0035, or through Pretty, Andrea via phone (919) 633-7800.
Contact Information
Primary practice address
1611 Poole Rd
Raleigh NC 27610-2658
Phone: (919) 713-0035
Fax: (919) 713-0034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL-092-537 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL-092-491 | North Carolina |
Profile Details
| NPI number | 1003005240 |
|---|---|
| LBN Legal business name | Phyd, Inc. (Pretty Homes Youth Development) |
| DBA Doing business as | Destiny Homes Of Phyd, Inc. |
| Authorized official | Pretty, Andrea |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Mar 26th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003005240 | NPPES |
| North Carolina | MEDICAID | 6604280 | |
| North Carolina | MEDICAID | 6603862 |
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