NPIMap

Organization Active NPI

Richmond Co. DSS

  • Community/Behavioral Health Agency
  • Rockingham, NC
National Provider Identifier
1003955345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RICHMOND CO. DSS
Practice address
125 Caroline St
Rockingham, NC 28379-3567
Phone
(910) 997-8475
Fax
(910) 997-8447
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy A Avant
Title
Administrative Officer
Phone
(910) 997-8475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

125 Caroline St
Rockingham, NC 28379-3567

Mailing address

PO Box 518
Rockingham, NC 28380-0518
Phone (910) 997-8475

Other identifiers 1

IdentifierTypeStateIssuer
8700098MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Richmond Co DSS7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 Caroline St
Rockingham, NC 28379
Phone (910) 997-8475

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003955345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283800518",
            "telephone_number": "910-997-8475",
            "fax_number": "910-997-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CAROLINE ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793567",
            "telephone_number": "910-997-8475",
            "fax_number": "910-997-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND CO. DSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVANT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "910-997-8475"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.