Active NPI
Conroc, Inc. Dba Rockdale Houses for Men & Women
- Substance Abuse Rehabilitation Facility
- Conyers, GA
National Provider Identifier
1043352305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.