NCAL - ROCKY MOUNT, INC. (NPI# 1083779383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083779383 |
| Entity Type | Organization |
| Organization Name | NCAL - ROCKY MOUNT, INC. |
| Other Organization Name | SOMERSERT COURT OF ROCKY MOUNT |
| Practice Address |
918 Westwood Dr Rocky Mount NC 27803-2532 |
| Mailing Address |
1105 Brookstown Ave Winston Salem NC 27101-2524 |
| Practice Telephone | 2524435592 |
| Practice Fax Number | 2524466969 |
| Mailing Telephone | 3367241000 |
| Mailing Fax Number | 3367249955 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | WILLIAM BENTON (CEO) |
| Authorized Official Telephone | 3367241000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
HAL-064-010 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804017 | 05 |
| Other Name | Type Code |
|---|---|
| Somersert Court of Rocky Mount | Doing Business As Name - Organization |
| Street Address |
918 WESTWOOD DR |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27803-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558745687 | Jfc Meridian Opco-rocky Mount | Assisted Living Facility | 918 Westwood Dr, Rocky Mount, NC 27803-2532 | 2015-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043615131 | Exigin Behavioral Health LLC | Counselor | 1105 Spring Forest Dr, Rocky Mount, NC 27803 | 2014-10-31 |
| 1649577180 | Jeffery Beal | Physical Therapist | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1083713283 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 824 West Raleigh Boulevard, Rocky Mount, NC 27803 | 2006-09-22 |
| 1013935113 | Spring Arbor of Rocky Mount | Assisted Living Facility | 1251 S. Winstead Ave., Rocky Mount, NC 27803 | 2006-07-17 |
| 1053386078 | William A Munn | Physician Assistant | 10589 East Nc 97, Rocky Mount, NC 27803 | 2006-02-22 |
| 1366749806 | Jeffrey Miller | Physical Therapist | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1821395369 | Rehab Revolution Inc. | Clinic/Center | 3936 Crosswinds Drive, Rocky Mount, NC 27803 | 2011-02-18 |
| 1053517029 | Family Care Partners of North Carolina, Pllc | Physician Assistant | 10589 East Nc 97, Rocky Mount, NC 27803 | 2007-06-26 |
| 1093897340 | Warren County Rescue | Ambulance | 123 S Grace St, Rocky Mount, NC 27803 | 2006-10-19 |
| 1659453900 | Broad Creek Ems | Ambulance | 123 S Grace St, Rocky Mount, NC 27803 | 2006-10-19 |
| Find all providers in zip 27803 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1891235818 | Kinillie Family Care Home | Custodial Care Facility | 448 Pleasant Hill Rd, Rocky Mount, NC 27801-8708 | 2017-02-24 |
| 1437609179 | Eugene C Davenport | Custodial Care Facility | 1327 Echo Lake Ln, Rocky Mount, NC 27803-2564 | 2016-10-06 |
| 1235688953 | Mary Robinson | Custodial Care Facility | 735 Rose St, Rocky Mount, NC 27801-5875 | 2016-09-22 |
| 1609100171 | Floyd Home Care, Inc. | Custodial Care Facility | 116 Wayne St, Rocky Mount, NC 27804-3752 | 2009-09-30 |
| 1093929754 | Knight's Family Care Homes | Custodial Care Facility | 3305 Greenfield Dr, Rocky Mount, NC 27804-8238 | 2007-05-10 |
| 1164567715 | We Care Family Care Home | Custodial Care Facility | 1101 Hill St, Rocky Mount, NC 27801-6002 | 2007-02-21 |
| 1962547505 | Your Loving Care Family Care Home | Custodial Care Facility | 730 Marigold St, Rocky Mount, NC 27801-5908 | 2007-02-21 |
| 1588702484 | Swelton Heights Haven | Custodial Care Facility | 1321 Mcdearman St, Rocky Mount, NC 27804-2640 | 2007-02-02 |
| 1952845174 | Vernon Bryant | Custodial Care Facility | 514 Cokey Rd, Rocky Mount, NC 27801-5641 | 2016-12-07 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27803 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.