Organization
ARDEBELLA HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIBOR CHIBOR M.ED (CEO)
(336) 988-6143
Entity
Organization
Contact information
Practice address
1952 KIPPEN DR, KERNERSVILLE, NC 27284-9953
(336) 988-6143
Mailing address
1952 KIPPEN DR, KERNERSVILLE, NC 27284-9953
(336) 988-6143
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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