NPIMap

Organization Active NPI

Rockingham Opportunities Corp

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Reidsville, NC
National Provider Identifier
1295953651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-079-029 Issued in NC
Legal business name
ROCKINGHAM OPPORTUNITIES CORP
Practice address
342 Cherokee Camp Rd
Reidsville, NC 27320-8888
Phone
(336) 342-4761
Fax
(336) 342-0310
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey E Pruett
Title
Executive Director
Phone
(336) 342-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-079-029 NC Primary

Addresses

Primary practice location

342 Cherokee Camp Rd
Reidsville, NC 27320-8888

Mailing address

342 Cherokee Camp Rd
Reidsville, NC 27320-8888
Phone (336) 342-4761

Other identifiers 1

IdentifierTypeStateIssuer
7802427MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Rockingham Opportunities Corp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295953651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 CHEROKEE CAMP RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273208888",
            "telephone_number": "336-342-4761",
            "fax_number": "336-342-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 CHEROKEE CAMP RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273208888",
            "telephone_number": "336-342-4761",
            "fax_number": "336-342-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM OPPORTUNITIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-342-4761",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-079-029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802427",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

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.

Verify at the official NPI Registry.