Provider Demographics
NPI:1679555403
Name:GIVENS ESTATES, INC.
Entity Type:Organization
Organization Name:GIVENS ESTATES, INC.
Other - Org Name:GIVENS ESTATES
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SQUIRES
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:828-771-2214
Mailing Address - Street 1:2360 SWEETEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2030
Mailing Address - Country:US
Mailing Address - Phone:828-274-4800
Mailing Address - Fax:828-771-2206
Practice Address - Street 1:600 BARRETT LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-6000
Practice Address - Country:US
Practice Address - Phone:828-274-4800
Practice Address - Fax:828-771-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0484314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7801580Medicaid
NC3406134Medicaid
NC3405328Medicaid
NC3405328Medicaid