REIDSVILLE HOLDINGS LLC NPI 1063548295

NPI Information

NPI: 1063548295
Provider Name: REIDSVILLE HOLDINGS LLC

Doing Business As: REIDSVILLE HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
305 S BRANCH ST
REIDSVILLE, NC
ZIP 27320
Phone: (336) 349-5595
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REIDSVILLE HOLDINGS LLC is an assisted living facility in Reidsville, NC. The provider is 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. REIDSVILLE HOLDINGS LLC NPI is 1063548295. The provider is registered as an organization entity type.
The provider Is Doing Business As Reidsville House.

The provider's business location address is:

305 S BRANCH ST
REIDSVILLE, NC
ZIP 27320-917
Phone: (336) 349-5595
Fax: (336) 634-0931

The provider's authorized official is Kenneth Hodges .
The authorized official title is Member Manager and has the following contact phone number (828) 738-3046.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		HAL079055	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7805587	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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