Rockingham Manor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0427 Issued in NC

Legal business name

ROCKINGHAM MANOR, LLC

Practice address

804 S Long Dr
Rockingham, NC 28379-4318

Phone

(910) 997-4493

Fax

(910) 997-4083

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Pam Bishop

Title

Treasurer

Phone

(864) 266-2911

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rockingham Manor Doing business as

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1548244346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S LONG DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794318",
            "telephone_number": "910-997-4493",
            "fax_number": "910-997-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S LONG DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794318",
            "telephone_number": "910-997-4493",
            "fax_number": "910-997-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "864-266-2911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3446398",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435378",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockingham Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Jolynn Rivers, LPN
• Serenity Kaeli Roberts
• Lenita Robinson
• Rockingham Children & Family Counseling, PA
• Rockingham Healthcare, Inc
• Fredrika Rodgers
• Roger W. Luck
• Erica Charmaine Rorie, FNP-C
• Safe Haven Therapeutic Solutions LLC,
• Jaime Sale, PMHNP

• Skilled Nursing Facility in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.