Da-Queens Home

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DA-QUEENS HOME

Practice address

601 Eastern Ave
Rocky Mount, NC 27801-5856

Phone

(919) 395-6027

Fax

(919) 329-7640

NPI assigned

Aug 11, 2020

Organization subpart

No

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

Authorized official

Name

Ngozi Mary Ngwadom, MA

Title

Ceo

Phone

(919) 395-6027

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680393600000",
    "number": "1487265682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ADAMS POINT DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296507",
            "telephone_number": "919-395-6027",
            "fax_number": "919-329-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EASTERN AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015856",
            "telephone_number": "919-395-6027",
            "fax_number": "919-329-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA-QUEENS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "NGWADOM",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-395-6027",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.