THE HIAWATHA CENTER, INC. (NPI# 1407406713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407406713 |
| Entity Type | Organization |
| Organization Name | THE HIAWATHA CENTER, INC. |
| Practice Address |
819 W Raleigh Blvd Rocky Mount NC 27803-2764 |
| Practice Telephone | 9193450261 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | DARIUS SMITH (PRESIDENT) |
| Authorized Official Telephone | 9193450261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
819 W RALEIGH BLVD |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27803-2764 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1265084321 | Core Concepts, LLC | Community/Behavioral Health | 20 W Court St, Rocky Mount, VA 24151-1304 | 2019-07-09 |
| 1235609546 | Impact A.b.a. Therapy, Inc. | Community/Behavioral Health | 3661 Sunset Ave Ste 353, Rocky Mount, NC 27804-3411 | 2018-11-29 |
| 1720412182 | Herron Counseling, Inc | Community/Behavioral Health | 95 Maple Ave, Suite B, Rocky Mount, VA 24151-1550 | 2013-08-21 |
| 1346680543 | Monarch | Community/Behavioral Health | 809 Tiffany Blvd, Rocky Mount, NC 27804-1812 | 2013-07-02 |
| 1518305861 | Monarch | Community/Behavioral Health | 169 Wayfarer Ct, Rocky Mount, NC 27801-6212 | 2013-06-10 |
| 1225473572 | Four Counties | Community/Behavioral Health | 1310 Niblick Dr, Rocky Mount, NC 27804-8652 | 2013-04-30 |
| 1396095147 | Kiononia Haven Homes, LLC | Community/Behavioral Health | 507 Tobacco Rd, Rocky Mount, NC 27801-6936 | 2012-09-19 |
| 1083961965 | Lechris Adult Day Care of Rocky Mount, Inc. | Community/Behavioral Health | 308 S Tillery St, Rocky Mount, NC 27804-5870 | 2012-08-09 |
| 1982980157 | Day One Supportive Services | Community/Behavioral Health | 304 Forest Hill Ave, Rocky Mount, NC 27804-3732 | 2011-11-01 |
| 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.