Active NPI
Solid Foundation Facilities Incorporated
- Community/Behavioral Health Agency
- Windsor, NC
National Provider Identifier
1164504395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SOLID FOUNDATION FACILITIES INCORPORATED
- Practice address
- 208 Dundee St
Windsor, NC 27983-6701 - Phone
- (252) 794-4800
- Fax
- (252) 794-4747
- NPI assigned
- Oct 19, 2006
- 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
- Mr. R. Vernell Rodgers
- Title
- Ceo President
- Phone
- (252) 794-2385
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 626 | NC | |
| Psychologist | 103T00000X | 626 | NC | |
| Clinical Social Worker | 1041C0700X | 626 | NC | |
| Marriage & Family Therapist | 106H00000X | 626 | NC | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
208 Dundee St
Windsor, NC 27983-6701
Mailing address
PO Box 709
224 Ward Road
Windsor, NC 27983-0709
Phone (252) 794-2385
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408848 | Medicaid | NC | |
| 5906030 | Medicaid | NC | |
| 8300759B | Medicaid | NC | |
| 8300759H | Medicaid | NC | |
| 232104 | Other | NC | MEDICARE PTAN |
| 8300760 | Medicaid | NC | |
| 8300760H | Medicaid | NC | |
| 6005687 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1313 1st St W
Ahoskie, NC 27910
Phone (252) 209-8932
208 Dundee St
Windsor, NC 27983
Phone (252) 794-4800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1164504395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 709",
"address_2": "224 WARD ROAD",
"city": "WINDSOR",
"state": "NC",
"postal_code": "279830709",
"telephone_number": "252-794-2385",
"fax_number": "252-794-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 DUNDEE ST",
"city": "WINDSOR",
"state": "NC",
"postal_code": "279836701",
"telephone_number": "252-794-4800",
"fax_number": "252-794-4747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLID FOUNDATION FACILITIES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "RODGERS",
"authorized_official_first_name": "R.",
"authorized_official_middle_name": "VERNELL",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "252-794-2385",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "626",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NC",
"license": "626",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "626",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "626",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408848",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906030",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300759B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300759H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "232104",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300760",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300760H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005687",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, NC
- Robert Alan Robbins, RPH
- Catherine Adlanda Roberts, LCAS, LPC, CCS
- Marlee Sloan, MS, LAT, ATC
- Biancas Smith
- Rachel Dorothea Smith, PHARMD
- Solid Foundation Facilities, Inc
- Solid Foundation Facilities, Inc
- Solid Foundation Facilities, Inc
- Solid Foundation Facilities, Inc.
- Solutions for Personal Care Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.