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Contact Information

PLEASANT HILL UCC FAMILY CARE HOME
393 CONNER DRIVE
KIPLING, NC27543
 Phone: 919-567-0929
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Care Home

311ZA0620X
Indicates primary specialty

NPI Profile & details for PLEASANT HILL UCC FAMILY CARE HOME

NPI Number 1396864245
LBN Legal business name PLEASANT HILL UCC FAMILY CARE HOME
Authorized official DONALD MCCOY - (ADMINSTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2007
Last updated 08/16/2011 - About 15 years ago
Identifiers
NC Medicaid 970599
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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