National Provider Identifier Database

PROVIDENCE HEALTHCARE OF THE CAROLINAS
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

PROVIDENCE HEALTHCARE OF THE CAROLINAS
4302 HWY NC 210
SMITHFIELD, NC27577
Phone:
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTHCARE OF THE CAROLINAS

NPI Number 1497260608
Legal business name
LBN
PROVIDENCE HEALTHCARE OF THE CAROLINAS
Authorized official TERMAINE MOORE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/11/2017
Last updated 12/11/2017 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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