Organization Active NPI

Conroc, Inc. Dba Rockdale Houses for Men & Women

  • Substance Abuse Rehabilitation Facility
  • Conyers, GA
National Provider Identifier
1043352305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CONROC, INC. DBA ROCKDALE HOUSES FOR MEN & WOMEN
Practice address
1060 Scott St SE
Conyers, GA 30012-5460
Phone
(770) 483-3984
NPI assigned
Feb 13, 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
Ms. Frances Medinger
Title
Chairperson, Board of Directors
Phone
(770) 483-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1060 Scott St SE
Conyers, GA 30012-5460

Mailing address

1060 Scott St SE
Conyers, GA 30012-5460
Phone (770) 483-3984

National Provider Directory

National Provider Directory

Locations

1060 Scott St SE
Conyers, GA 30012
Phone (770) 483-3984

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043352305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 SCOTT ST SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125460",
            "telephone_number": "770-483-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SCOTT ST SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125460",
            "telephone_number": "770-483-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROC, INC. DBA ROCKDALE HOUSES FOR MEN & WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINGER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "CHAIRPERSON, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "770-483-0213",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

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.