Provider Demographics
NPI:1558410233
Name:LINDLEY HABILITATION SERVICES INC
Entity Type:Organization
Organization Name:LINDLEY HABILITATION SERVICES INC
Other - Org Name:LINDLEY HABILITATION SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-392-7792
Mailing Address - Street 1:4214 BEECHWOOD DR STE 101
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8132
Mailing Address - Country:US
Mailing Address - Phone:336-855-3755
Mailing Address - Fax:336-855-3363
Practice Address - Street 1:4214 BEECHWOOD DR STE 101
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8132
Practice Address - Country:US
Practice Address - Phone:336-855-3755
Practice Address - Fax:336-855-3363
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY BASED CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-10
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409069Medicaid