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Green Beret Healthcare Agency, Inc
Child Intellectual and/or Developmental Disabilities Respite Care in Hope Mills, North Carolina
NPI 1376006130

Green Beret Healthcare Agency, Inc is a Child Intellectual and/or Developmental Disabilities Respite Care based in Hope Mills, NC and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Green Beret Healthcare Agency, Inc practices in Hope Mills, NC. The NPI Number for Green Beret Healthcare Agency, Inc is 1376006130 and holds a License No. (North Carolina).

The current practice location address for Green Beret Healthcare Agency, Inc is 1014 Harvest Grove Ct, Hope Mills, NC and can be reached out via phone at 910-364-5219 and via fax at 866-704-9129.

Location: 1014 Harvest Grove Ct, Hope Mills, NC, 28348-9272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376006130
Provider Name
Green Beret Healthcare Agency, Inc
Credential
Provider Entity Type
Organization
Address
1014 Harvest Grove Ct, Hope Mills, NC, 28348-9272
Phone Number
910-364-5219
Fax Number
866-704-9129
Provider Enumeration Date
04/09/2019
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6602223 05 NC
institution
Provider Business Practice Location Address Details
Address
1014 Harvest Grove Ct
City
Hope Mills
State
North Carolina
Zip
28348-9272
Phone Number
910-364-5219
Fax Number
866-704-9129
person
Provider Business Mailing Address Details
Address
1014 Harvest Grove Ct
City
Hope Mills
State
North Carolina
Zip
28348-9272
Phone Number
910-364-5219
Fax Number
866-704-9129
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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