Organization Active NPI

MDG Management

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1356468995
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
HC1601 Issued in NC
Legal business name
MDG MANAGEMENT
Practice address
2322 Newton St
Greensboro, NC 27406-5516
Phone
(336) 294-7656
Fax
(336) 294-4791
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Jerome Rashawn Fox II
Title
Ceo
Phone
(336) 294-7656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X HC1601 NC Primary
Nurse's AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376K00000X HC1601 NC

Addresses

Primary practice location

2322 Newton St
Greensboro, NC 27406-5516

Mailing address

PO Box 5522
Greensboro, NC 27435-0522
Phone (336) 294-7656

Other identifiers 2

IdentifierTypeStateIssuer
6600548MedicaidNC
3409369MedicaidNC

Other names 1

  • Rebecca Home Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356468995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5522",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274350522",
            "telephone_number": "336-294-7656",
            "fax_number": "336-294-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 NEWTON ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065516",
            "telephone_number": "336-294-7656",
            "fax_number": "336-294-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDG MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "RASHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-294-7656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "HC1601",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC1601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600548",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409369",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.