Provider Demographics
NPI:1497919971
Name:CHOPAH, INC
Entity Type:Organization
Organization Name:CHOPAH, INC
Other - Org Name:THE ALBERTA HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DEAL
Authorized Official - Last Name:NADEAU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:828-464-3715
Mailing Address - Street 1:807 4TH ST SW
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-2638
Mailing Address - Country:US
Mailing Address - Phone:828-464-3715
Mailing Address - Fax:828-466-0190
Practice Address - Street 1:807 4TH ST SW
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-2638
Practice Address - Country:US
Practice Address - Phone:828-464-3715
Practice Address - Fax:828-466-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-018-030310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility