NPIMap

Organization Active NPI

Swim Network, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rocky Mount, NC
National Provider Identifier
1225318587
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
MHL-033-103 Issued in NC
Legal business name
SWIM NETWORK, INC
Practice address
403 Atlantic Ave
Rocky Mount, NC 27801-5313
Phone
(252) 972-7946
Fax
(252) 972-7946
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Ms. Tilda Denora Whitaker, QSAP
Title
Executive Director
Phone
(252) 972-7946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MHL-033-103 NC Primary

Addresses

Primary practice location

403 Atlantic Ave
Rocky Mount, NC 27801-5313

Mailing address

PO Box 1314
Rocky, NC 27802
Phone (252) 972-7946

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1225318587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1314",
            "city": "ROCKY",
            "state": "NC",
            "postal_code": "27802",
            "telephone_number": "252-972-7946",
            "fax_number": "252-972-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ATLANTIC AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015313",
            "telephone_number": "252-972-7946",
            "fax_number": "252-972-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIM NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "TILDA",
        "authorized_official_middle_name": "DENORA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-972-7946",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QSAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": "MHL-033-103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.