Provider Demographics
NPI:1023290186
Name:FALCON HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:FALCON HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:UMEH
Authorized Official - Suffix:
Authorized Official - Credentials:BS,MBA
Authorized Official - Phone:919-208-5733
Mailing Address - Street 1:5208 COUNTRY PINES CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-5688
Mailing Address - Country:US
Mailing Address - Phone:919-208-5733
Mailing Address - Fax:919-876-4139
Practice Address - Street 1:5208 COUNTRY PINES CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-5688
Practice Address - Country:US
Practice Address - Phone:919-208-5733
Practice Address - Fax:919-876-4139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-092-692320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities