NPIMap

Organization Active NPI

Open Hearts

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rocky Mount, NC
National Provider Identifier
1366773723
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL064110 Issued in NC
Legal business name
OPEN HEARTS
Practice address
1400 W Mount Dr
Rocky Mount, NC 27803-3107
Phone
(252) 443-7391
Fax
(252) 443-7391
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Mrs. Debbie Dickens Telfair
Title
Owner
Phone
(252) 641-0361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL064110 NC Primary

Addresses

Primary practice location

1400 W Mount Dr
Rocky Mount, NC 27803-3107

Mailing address

1400 W Mount Dr
Rocky Mount, NC 27803-3107
Phone (252) 443-7391

Other identifiers 1

IdentifierTypeStateIssuer
MHL064110OtherNCNC STATE LOCENCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1366773723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W MOUNT DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278033107",
            "telephone_number": "252-443-7391",
            "fax_number": "252-443-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W MOUNT DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278033107",
            "telephone_number": "252-443-7391",
            "fax_number": "252-443-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "TELFAIR",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "DICKENS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-641-0361",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL064110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LOCENCE",
            "identifier": "MHL064110",
            "state": "NC"
        }
    ],
    "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 Jan 26, 2010; 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.