QUEENS GROUP HOME (NPI# 1780295055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780295055 |
| Entity Type | Organization |
| Organization Name | QUEENS GROUP HOME |
| Practice Address |
1400 W Mount Dr Rocky Mount NC 27803-3107 |
| Mailing Address |
295 Adams Point Dr Garner NC 27529-6507 |
| Practice Telephone | 9192472312 |
| Practice Fax Number | 9193297640 |
| Mailing Telephone | 9192472312 |
| Mailing Fax Number | 9193297640 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | PROF. EKELEKAMCHUKWU ALPHONSUS NGWADOM (CEO) |
| Authorized Official Telephone | 9192472312 |
| Authorized Official Credential | LCMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| 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 |
| 1487265682 | Da-queens Home | Clinic/Center | 1400 W Mount Dr, Rocky Mount, NC 27803-3107 | 2020-08-11 |
| 1366773723 | Open Hearts | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1400 W Mount Dr, Rocky Mount, NC 27803-3107 | 2010-01-26 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275146946 | Lakeisha Ward | Clinic/Center | 2221 W Raleigh Blvd Ste 117, Rocky Mount, NC 27803-2745 | 2020-08-24 |
| 1689976169 | Blazing Women of God Adult Group Home Inc. | Clinic/Center | 1124 Clark St, Rocky Mount, NC 27801-5735 | 2010-12-03 |
| 1104007723 | House of Hope | Clinic/Center | 2416 Sheve Rd., Rocky Mount, NC 27801 | 2007-11-26 |
| 1184748238 | Mybrotherskeeper | Clinic/Center | 816 Paul St, Rocky Mount, NC 27803-3337 | 2007-03-16 |
| 1487265682 | Da-queens Home | Clinic/Center | 1400 W Mount Dr, Rocky Mount, NC 27803-3107 | 2020-08-11 |
| 1538539077 | Daniel Medical Services Pllc | Clinic/Center | 3068 Sunset Ave, Rocky Mount, NC 27804-3647 | 2015-09-27 |
| 1871916189 | God's Destiny Family Care Home | Clinic/Center | 107 Greenwood Ave, Rocky Mount, NC 27804-3739 | 2014-01-23 |
| 1639485667 | Eaglemerelivingfacility | Clinic/Center | 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537436 | Amazing Love | Clinic/Center | 1201 W Crowell St, Monroe, NC 28112-4535 | 2020-10-27 |
| 1629677547 | Julia Kaplinska, Phd, Pllc | Clinic/Center | 4908 Vistawood Way, Durham, NC 27713-8065 | 2020-10-21 |
| 1013514587 | Lisa Johnson Reid | Clinic/Center | 3491 Evans St Ste B, Greenville, NC 27834-4534 | 2020-10-07 |
| 1609473230 | Chadwick Counseling, Pllc | Clinic/Center | 105 Chelsea Cir, Beaufort, NC 28516-9001 | 2020-10-06 |
| 1417570995 | Sb Psychiatry Pllc | Clinic/Center | 55 Vilcom Center Dr Ste 230, Chapel Hill, NC 27514-1690 | 2020-05-19 |
| 1467082396 | Premier Service of Carolina, Inc | Clinic/Center | 2020 Remount Rd Ste 105, Gastonia, NC 28054-7478 | 2020-01-20 |
| 1417598962 | Limitless Living Counseling & Consulting, Pllc | Clinic/Center | 806 Fairmont St, Greensboro, NC 27401-1723 | 2019-10-07 |
| 1598316770 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 7300 Carmel Executive Park Dr Ste 100, Charlotte, NC 28226-1307 | 2019-09-27 |
| 1255981627 | Each One Teach Two | Clinic/Center | 401 Hawthorne Ln Ste 110-224, Charlotte, NC 28204-2484 | 2019-09-17 |
| 1649828971 | Matters of The Mind | Clinic/Center | 1925 Nuthatch Rd, Fayetteville, NC 28304-4766 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27803 |
Please comment or provide details below to improve the information on QUEENS GROUP HOME.
| 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.