1700157542 NPI number — BILTMORE HOUSING INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700157542 NPI number — BILTMORE HOUSING INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BILTMORE HOUSING INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700157542
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 LEES CREEK RD UNIT D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28806-5104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-216-2596
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
82 BRADLEY BRANCH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARDEN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28704-8315
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-216-2596
Provider Business Practice Location Address Fax Number:
828-676-1129
Provider Enumeration Date:
01/25/2012

Additional Information

Authorized Official

Authorized Official Last Name:
LONG
Authorized Official First Name:
ALVIN
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PROGRAM DIRECTOR
Authorized Official Telephone Number:
828-216-2596

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X , with the licence number:  MHL-011-344 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MHL-011-344 . This is a "DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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