Organization Active NPI

Solid Foundation Facilities, Inc

  • Community/Behavioral Health Agency
  • Windsor, NC
National Provider Identifier
1528264017
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOLID FOUNDATION FACILITIES, INC
Practice address
208 Dundee St
Windsor, NC 27983-6701
Phone
(252) 794-2385
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
R Vernell Rodgers
Title
Ceo
Phone
(252) 794-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

208 Dundee St
Windsor, NC 27983-6701

Mailing address

224 Ward Rd
Windsor, NC 27983-9074
Phone (252) 794-2385

Other identifiers 6

IdentifierTypeStateIssuer
8300759BMedicaidNC
8300759GMedicaidNC
8300759IMedicaidNC
8300759MedicaidNC
8300759HMedicaidNC
8300759JMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Solid Foundation Facilities Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1528264017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WARD RD",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839074",
            "telephone_number": "252-794-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 DUNDEE ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279836701",
            "telephone_number": "252-794-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID FOUNDATION FACILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "VERNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-794-2385"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300759B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300759G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300759I",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300759",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300759H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300759J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.