1720121544 NPI number — SOUNDVIEW FAMILY CARE HOMES, INC.

Table of content: (NPI 1720121544)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720121544 NPI number — SOUNDVIEW FAMILY CARE HOMES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUNDVIEW FAMILY CARE HOMES, 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:
1720121544
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 272
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAST FLAT ROCK
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28726-0272
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-694-1146
Provider Business Mailing Address Fax Number:
828-694-1147

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
70 OXBOW LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLAT ROCK
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28731-9786
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-694-1146
Provider Business Practice Location Address Fax Number:
828-694-1147
Provider Enumeration Date:
02/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MUNIZ
Authorized Official First Name:
JUSTINA
Authorized Official Middle Name:
DENISE
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
828-216-1976

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  FCL-045-082 , 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: 7804747 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com