NOA HUMAN SERVICES LLC 3 NPI 1841608866

Residential Treatment Facility, Physical Disabilities in Winston Salem, NC

Organization Residential Treatment Facility, Physical...

About NOA HUMAN SERVICES LLC 3

Noa Human Services Llc 3 is a provider established in Winston Salem, North Carolina specializing in residential treatment facility, physical disabilities. The NPI number of Noa Human Services Llc 3 is 1841608866 and was assigned on July 2014. The practitioner's primary taxonomy code is 320700000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Nena Ikwechegh (Director)

NPI

1841608866

Provider NameNOA HUMAN SERVICES LLC 3
Provider Location Address1847 WAYCROSS DRIVE WINSTON SALEM, NC 27106
Provider Mailing AddressP O BOX 17002 WINSTON SALEM, NC 27106
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-23-2014
Last Update Date07-24-2014

Primary Taxonomy

Taxonomy Code320700000X
ClassificationResidential Treatment Facility, Physical Disabilities
TypeResidential Treatment Facilities
Taxonomy DescriptionA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.

Business Address

NOA HUMAN SERVICES LLC 3
1847 WAYCROSS DRIVE
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 287-3241

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Mailing Address

NOA HUMAN SERVICES LLC 3
P O BOX 17002
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 287-3241

Authorized Official

Authorized Official Name NENA IKWECHEGH
Authorized Official TitleDIRECTOR
Authorized Official Phone(336) 287-3241

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.