NPIMap

Organization Active NPI

Lechris Adult Day Care of Rocky Mount, Inc.

  • Community/Behavioral Health Agency
  • Wilson, NC
National Provider Identifier
1417262585
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-098-121 Issued in NC
Legal business name
LECHRIS ADULT DAY CARE OF ROCKY MOUNT, INC.
Practice address
2707-A Wooten Blvd.
Wilson, NC 27893-4483
Phone
(252) 243-2339
Fax
(252) 243-2394
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Ms. Sarah H. Schwarz, MS
Title
Pres/Ceo
Phone
(252) 636-6105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-098-121 NC Primary

Addresses

Primary practice location

2707-A Wooten Blvd.
Wilson, NC 27893-4483

Mailing address

2707-A Wooten Blvd.
Wilson, NC 27893-4483
Phone (252) 243-2339

Other identifiers 2

IdentifierTypeStateIssuer
8300274GMedicaidNC
8300274SMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Lechris Adult Day Care O8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2707A Wooten Blvd SW
Wilson, NC 27893
Phone (252) 243-2339

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1417262585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707-A WOOTEN BLVD.",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934483",
            "telephone_number": "252-243-2339",
            "fax_number": "252-243-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707-A WOOTEN BLVD.",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934483",
            "telephone_number": "252-243-2339",
            "fax_number": "252-243-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECHRIS ADULT DAY CARE OF ROCKY MOUNT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "252-636-6105",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-098-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300274G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300274S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.