Rose of Sharon

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MHL-013-177 Issued in NC

Legal business name

ROSE OF SHARON

Doing business as

1st & 2nd Chance Adult Care Services Inc

Practice address

1185 Dale Earnhardt Blvd
Kannapolis, NC 28083-3201

Phone

(980) 307-6222

Fax

(704) 454-7349

NPI assigned

Jan 9, 2014

Last updated

Jan 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Edwards Berryman

Title

Owner

Phone

(980) 307-6222

Specialties & licenses 1

Addresses

Other names 1

• 1st & 2nd Chance Adult Care Services Inc Doing business as

Tax ID family

1St 2ND Chance Adult Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• L.I.M.S.

  dba 1st & 2nd Chance Adult Care Services Inc

  • Adult Mental Health Clinic/Center
  • Kannapolis, NC
  • NPI 1033531231
  NPD tax ID

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1609298785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 DALE EARNHARDT BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833201",
            "telephone_number": "980-307-6222",
            "fax_number": "704-454-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 DALE EARNHARDT BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833201",
            "telephone_number": "980-307-6222",
            "fax_number": "704-454-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE OF SHARON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "BERRYMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-307-6222"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-013-177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st & 2nd Chance Adult Care Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Noel Roberts, PHARMD
• Melissa Maye Robinson, FNP
• John A. Roche
• Mikaella Rohmann, LCSWA
• Melissa Romain
• Rosebud Headquaters LLC
• Gabrielle Adelle Rosenthal-Ayres
• Rowan Diagnostic Clinic
• Franklin Roye
• Ashley Jones Rozier, MA, CCC-SLP

• Adult Mental Health Clinic/Center in Kannapolis, NC
• Providers in Kannapolis, 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 Jan 9, 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.