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:
Map and Directions
Authorized official contact:
Name: Pretty, Andrea
Phone: (919) 633-7800

Health care specialties

SpecialtyCodeLicense #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 17 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 1003005240 NPPES
North Carolina MEDICAID 6604280
North Carolina MEDICAID 6603862

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