Hills Dda Group Home Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HILLS DDA GROUP HOME INC

Practice address

2017 East Ridge Cir
Kinston, NC 28501

Phone

(252) 522-4869

NPI assigned

Dec 20, 2007

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alicetine P Rouse

Title

Administrator

Phone

(252) 522-4869

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1053595546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5425",
            "address_2": "2017 EAST RIDGE CIRCLE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-522-4869",
            "fax_number": "252-522-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 EAST RIDGE CIR",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-522-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS DDA GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "ALICETINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-522-4869",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL054111",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805117",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "MHL054111",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Hill, CPO
• Miranda Grady Hill, PHARMD
• Shannon Rae Hill, FNP-BC
• Linda Hilliard, LCAS-A
• Hills Dda Group Home
• Sharon Marie Hinnant Cox, LPCA
• His Covenant Care Home, Inc
• Hobbs Adult Care Inc. (Hobbs Assisted Living, Inc.#2)
• Peter K Hobler, BSW/QP SACI
• John Patrick Hogan, NP

• Adult Mental Health Clinic/Center in Kinston, NC
• Providers in Kinston, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.