Carolina Rebuilding Ministry

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

CAROLINA REBUILDING MINISTRY

Practice address

3034 US Highway 64 E
Plymouth, NC 27962-9678

Phone

(252) 741-9502

NPI assigned

Jan 10, 2023

Last updated

Jan 10, 2023By 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

Mr. Jason Donald Duvall, REV.

Title

Ceo

Phone

(252) 741-9502

Specialties & licenses 1

Addresses

Other names 1

• Cross Coalition Ltd. Other name

Locations

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1396459848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629678",
            "telephone_number": "252-741-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629678",
            "telephone_number": "252-741-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA REBUILDING MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-741-9502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REV."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross Coalition Ltd.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cah Acquisition Company 1 LLC (Washington County Hospital)
• Cah Acquisition Company 1 LLC (Washington County Hospital Professional Group)
• Cah Acquisition Company 1 LLC (Plymouth Primary Care)
• Cah Acquisition Company 1 LLC (Plymouth Primary Care Rural Health Clinic)
• Kneesha Chenay Carmack, LCMHCA
• Carolinas Home Care Inc
• James Patrick Carter, PAC
• Centennial Housing & Community Services Corporation (Washington Regional Medical Center)
• Centennial Housing & Community Services Corporation (Plymouth Primary Care Rural Health Clinic)
• Centennial Housing & Community Services Corporation (Washington Regional Medical Center)

• Home Modifications Contractor in Plymouth, NC
• Providers in Plymouth, NC by specialty
• Home Modifications Contractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.