Provider Demographics
NPI:1518414697
Name:BILTMORE HOUSING INC
Entity Type:Organization
Organization Name:BILTMORE HOUSING INC
Other - Org Name:SUNRISE RIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-216-2596
Mailing Address - Street 1:15 LEES CREEK RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-5104
Mailing Address - Country:US
Mailing Address - Phone:828-215-2596
Mailing Address - Fax:
Practice Address - Street 1:236 LEES CREEK ROAD UNIT D
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-5104
Practice Address - Country:US
Practice Address - Phone:828-216-2596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT7806648Medicaid