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LUTHERAN FAMILY SERVICES IN THE CAROLINAS NPI 1578619938


NPI Information

NPI: 1578619938
Provider Name: LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2083116

Address:
6590 ROLLINGWOOD DR
CLEMMONS, NC
ZIP 27012
Phone: (336) 766-9833
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LUTHERAN FAMILY SERVICES IN THE CAROLINAS is a community behavioral health in Clemmons, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LUTHERAN FAMILY SERVICES IN THE CAROLINAS NPI is 1578619938. The provider is registered as an organization entity type.

The provider's business location address is:

6590 ROLLINGWOOD DR
CLEMMONS, NC
ZIP 27012-119
Phone: (336) 766-9833

The provider's authorized official is Kirby Nickerson .
The authorized official title is Cfo and has the following contact phone number (704) 637-2870.

The CLIA number assigned to this NPI record is 34D2083116 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 6/26/2017.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL034174No
2251S00000XCommunity/Behavioral HealthYes

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
18301054BMEDICAIDNORTH CAROLINA
28301054MEDICAIDNORTH CAROLINA
37804965MEDICAIDNORTH 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

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