Roanoke Developmental Center Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

MHL-094-002 Issued in NC

Legal business name

ROANOKE DEVELOPMENTAL CENTER INC

Practice address

609 Adams St
Plymouth, NC 27962-1813

Phone

(252) 793-5077

Fax

(252) 793-9144

NPI assigned

Jan 8, 2007

Last updated

Mar 3, 2011By 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

Dr. Zebedee Taylor, MSW, PHD

Title

Executive Director

Phone

(252) 793-5077

Specialties & licenses 1

Addresses

Other identifiers 6

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1316095052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279620967",
            "telephone_number": "252-793-5077",
            "fax_number": "252-793-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ADAMS ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621813",
            "telephone_number": "252-793-5077",
            "fax_number": "252-793-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE DEVELOPMENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ZEBEDEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-793-5077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW, PHD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-094-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408386",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300667",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804439",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804441",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804440",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804498",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Roxanne L Respess, OTA
• Roanoke Area Medical Transport Service
• Roanoke Medical Center
• Lois Joyce Roberson, FNP-C
• Mary Frances Rochelle, M.S., CF-SLP
• Royal Protection Services
• Royallabs Elite Screening & Testing Services

• Developmentally Disabled Services Day Training Agency in Plymouth, NC
• Providers in Plymouth, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.