Waterbrooke Assisted Living

LBN: Waterside Healthcare Inc.
Waterbrooke Assisted Living is an health care organization with primary practice located at 703 Elizabeth St , Tabor City NC 28463-2603. 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. Waterside Healthcare Inc. can be contacted via phone (910) 653-6400, or through Goldston, David B via phone (910) 754-6621.

Contact Information

Primary practice address
703 Elizabeth St Tabor City NC 28463-2603
Phone: (910) 653-6400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goldston, David B
Phone: (910) 754-6621

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL-024-008 North Carolina

Profile Details

NPI number 1992843577
LBN Legal business name Waterside Healthcare Inc.
DBA Doing business as Waterbrooke Assisted Living
Authorized official Goldston, David B
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1992843577 NPPES
North Carolina MEDICAID 7805373

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