The Rossberry Home of Fairmont, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE ROSSBERRY HOME OF FAIRMONT, INC.

Practice address

429 Person St
Fayetteville, NC 28301-5737

Phone

(910) 483-8841

Fax

(910) 483-9198

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria J. Ross, RN

Title

Director

Phone

(704) 933-3314

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Rossberry Group Doing business as

Tax ID family

Straight Ahead Community Support5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• The Rossberry Home of Fairmont, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Lumberton, NC
  • NPI 1982743696
  NPD tax ID
• The Rossberry Home of Fairmont, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fairmont, NC
  • NPI 1447399134
  NPD tax ID
• The Rossberry Home of Fairmont, Inc.

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1669683108
  NPD tax ID
• The Rossberry Home of Fairmont, Inc.

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1851501001
  NPD tax ID

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487865929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LANE ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833748",
            "telephone_number": "704-933-3314",
            "fax_number": "704-933-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 PERSON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015737",
            "telephone_number": "910-483-8841",
            "fax_number": "910-483-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSSBERRY HOME OF FAIRMONT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-933-3314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005917",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rossberry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Mental Health Association in North Carolina, Inc.
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• The Pediatric Practice
• The Professional Group, Inc.
• The Rossberry Home of Fairmont, Inc.
• The Salt Project
• The Sullivan ABA Clinic, LLC
• The Victory Centers PLLC
• The Welling Place LLC

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.