Shady Harbour Adult Living

LBN: Shady Harbour Adult Living
Shady Harbour Adult Living is an health care organization with primary practice located at 908 Tom Hunter Road , Charlotte NC 28213. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Shady Harbour Adult Living can be contacted via phone (704) 597-1088, or through Osborne, Vernal via phone (704) 578-6203.

Contact Information

Primary practice address
908 Tom Hunter Road Charlotte NC 28213
Phone: (704) 597-1088
Fax: (704) 597-1088
Website:
Map and Directions
Authorized official contact:
Name: Osborne, Vernal
Phone: (704) 578-6203

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1770794620
LBN Legal business name Shady Harbour Adult Living
DBA Doing business as
Authorized official Osborne, Vernal
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Jul 3rd, 2008 - about 18 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 1770794620 NPPES
North Carolina MEDICAID 7803232

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