Port South Village- Tara

LBN: Senior Management Inc
Port South Village- Tara is an health care organization with primary practice located at 210 Covil Ave , Wilmington NC 28403-0711. 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. Senior Management Inc can be contacted via phone (910) 762-4550, or through Lockamy, Rhonda via phone (910) 890-7400.

Contact Information

Primary practice address
210 Covil Ave Wilmington NC 28403-0711
Phone: (910) 762-4550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lockamy, Rhonda
Phone: (910) 890-7400

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-065-025 North Carolina

Profile Details

NPI number 1245471101
LBN Legal business name Senior Management Inc
DBA Doing business as Port South Village- Tara
Authorized official Lockamy, Rhonda
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2009
Last updated Mar 23rd, 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 1245471101 NPPES
North Carolina MEDICAID 7805836

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