Rouses Group Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

079-053 Issued in NC

Legal business name

ROUSES GROUP HOME INC

Practice address

1103 Center Church Rd
Eden, NC 27288-5523

Phone

(336) 623-8111

Fax

(336) 427-2929

NPI assigned

Sep 10, 2015

Organization subpart

No

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

Authorized official

Name

Debra R Rouse

Title

Chief Executive Officer

Phone

(336) 427-0609

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar Place Other name

Tax ID family

Rouse'S Group Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Rouse'S Group Home Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Stoneville, NC
  • NPI 1902144314
  NPD tax ID
• Rouse'S Group Home, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Stoneville, NC
  • NPI 1841336062
  NPD tax ID

Locations

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1104294966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "STONEVILLE",
            "state": "NC",
            "postal_code": "270480016",
            "telephone_number": "336-427-2562",
            "fax_number": "336-427-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CENTER CHURCH RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885523",
            "telephone_number": "336-623-8111",
            "fax_number": "336-427-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSES GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-427-0609"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "079-053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340611X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Eden, NC
• Providers in Eden, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.