Annascare in Jacksonville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Annascare - NPI 1760549703
Annascare is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, North Carolina. Annascare practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Annascare is 1760549703. The last update date is 2020-08-22.
Annascare's current location address is 111 Tiffany Pl, Jacksonville, North Carolina. You can contact this provider via phone number 9104556724. The mailing address for Annascare is 111 Tiffany Pl, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Annascare |
|---|---|
| Address | 111 Tiffany Pl, Jacksonville, North Carolina |
| Phone Number | 9104556724 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Gibson Elizabeth Linda |
| Telephone Number | 9104556724 |
NPI Number Detail
| NPI Number | 1760549703 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 111 Tiffany Pl |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285467821 |
| Phone Number | 9104556724 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | MHL067148 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301252 | NC | -- | |
| 3409385 | NC | -- |
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What is the unique identifier code issued to Annascare by the Centers for Medicare & Medicaid Services?
The Annascare has been assigned the NPI (National Provider Identifier) 1760549703. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Annascare is physically located?
The Annascare is situated at the following address: 111 Tiffany Pl, Jacksonville, NC 285467821.
What is Annascare's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Annascare's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did the Annascare receive its 1760549703 assignment from the Centers for Medicare & Medicaid Services?
The Annascare was assigned its 1760549703 by the Centers for Medicare & Medicaid Services on 2007-01-02.
As of what date were the details pertaining to Annascare last refreshed?
The information related to the Annascare, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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