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PATRICIA O ADELEKUN NPI 1033343157


NPI Information

NPI: 1033343157
Provider Name: PATRICIA O ADELEKUN

Doing Business As: DBA HEAVENLY TOUCH CARE HOME

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
429 CROCKER RD
KINGS MOUNTAIN, NC
ZIP 28086
Phone: (704) 739-6429
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PATRICIA O ADELEKUN is an assisted living facility in Kings Mountain, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PATRICIA O ADELEKUN NPI is 1033343157. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Heavenly Touch Care Home.

The provider's business location address is:

429 CROCKER RD
KINGS MOUNTAIN, NC
ZIP 28086-004
Phone: (704) 739-6429

The provider's authorized official is Patricia Adelekun .
The authorized official title is Owner and has the following contact phone number (704) 739-6429.

The enumeration date for this NPI number is 5/4/2009 and was last updated on 12/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityFCL 023-010NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17801288MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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