OPEN HEARTS (NPI# 1366773723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366773723 |
| Entity Type | Organization |
| Organization Name | OPEN HEARTS |
| Practice Address |
1400 W Mount Dr Rocky Mount NC 27803-3107 |
| Practice Telephone | 2524437391 |
| Practice Fax Number | 2524437391 |
| Mailing Telephone | 2524437391 |
| Mailing Fax Number | 2524437391 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | MRS. DEBBIE DICKENS TELFAIR (OWNER) |
| Authorized Official Telephone | 2526410361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL064110 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC STATE LOCENCE | MHL064110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508139213 | Open Hearts | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 509 Beasley St, Princeville, NC 27886-5414 | 2012-02-13 |
| 1265544324 | Open Hearts | Social Worker | 4414 N 19th Ave, Phoenix, AZ 85015 | 2006-08-31 |
| 1174932669 | Open Hearts | Counselor | 3280 S Country Club Way, Tempe, AZ 85282-4065 | 2014-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OPEN HEARTS | 1250 Ne Cochran Dr, Gresham, OR 97030 |
| Colorado Business Entities | Open Hearts Acres LLC | 20873 Fairview Rd, Austin, CO 81410-8252 |
| Washington State Corporations | OPEN HEARTS ADULT FAMILY HOME LLC | 15510 Ne 79th Way, Vancouver, WA 98682-1535 |
| Washington State Corporations | OPEN HEARTS BIG DREAMS FUND | 3518 241st Ave Se, Sammamish, WA 98029-6317 |
| Indiana Business Entities | OPEN HEARTS CHRISTIAN FELLOWSHIP, INC. | Po Box 578, Cloverdale, IN 46120 |
| Washington State Corporations | OPEN HEARTS CLUB MINISTRY | 2566 Joe Austin Dr, Norfolk, VA 23504-3258 |
| Colorado Business Entities | Open Hearts Community Temple | 1571 Beeler St, Apt 310, Aurora, CO 80010 |
| Colorado Business Entities | Open Hearts Counseling, LLC | 15 W. Mill Street, #106, Bayfield, CO 81122 |
| System for Award Management (SAM) Entities | OPEN HEARTS DAYSCHOOL, LLC | 126 W State Highway 152 Ste 1, Mustang, OK 73064-3931 |
| Oklahoma Business Registrations | OPEN HEARTS DAYSCHOOL, LLC | 126 W Hwy 152 Unit #1, Mustang, OK 73064 |
| Street Address |
1400 W MOUNT DR |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27803-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093837726 | Stacy Vee Farrow | Lodging | 1400 W Mount Dr, Rocky Mount, NC 27803-3107 | 2007-04-04 |
| 1780295055 | Queens Group Home | Clinic/Center | 1400 W Mount Dr, Rocky Mount, NC 27803-3107 | 2020-08-11 |
| 1487265682 | Da-queens Home | Clinic/Center | 1400 W Mount Dr, Rocky Mount, NC 27803-3107 | 2020-08-11 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316495369 | Guiding Star Health Care Two, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1564 Springbrook Dr, Rocky Mount, NC 27801-3562 | 2016-09-20 |
| 1629488044 | Williams Home Sweet Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1832 Springfield Rd, Rocky Mount, NC 27801-3060 | 2014-05-07 |
| 1962731463 | Daniels' Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1509 Charter Dr, Rocky Mount, NC 27801-3544 | 2009-12-11 |
| 1700114816 | Keaira's House Adult Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 836 Lincoln Dr, Rocky Mount, NC 27801-7456 | 2009-12-01 |
| 1730319773 | Special Jewel Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 200 S Tillery St, Rocky Mount, NC 27804-5527 | 2009-07-24 |
| 1902047095 | Rojae's Creation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 417 N Parker St, Rocky Mount, NC 27801-5871 | 2009-03-18 |
| 1093987737 | Edwards Enterprises Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1852 Old Wilson Rd, Rocky Mount, NC 27801-7461 | 2008-04-01 |
| 1376724039 | Brenda W Bryan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2001 Vernon Rd, Rocky Mount, NC 27801 | 2007-11-21 |
| 1063691236 | Way Farer Court Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 145 Wayfarer Ct, Rocky Mount, NC 27801-6282 | 2007-10-24 |
| 1043409584 | Evergreen Road Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 827 Evergreen Rd, Rocky Mount, NC 27803-2426 | 2007-10-22 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27803 |
Please comment or provide details below to improve the information on OPEN HEARTS.
| 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.