Organization Active NPI

Blazing Women of God Adult Group Home Inc.

  • Adult Mental Health Clinic/Center
  • Rocky Mount, NC
National Provider Identifier
1689976169
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BLAZING WOMEN OF GOD ADULT GROUP HOME INC.
Practice address
1124 Clark St
Rocky Mount, NC 27801-5735
Phone
(252) 212-9888
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mrs. Minnie B Bullock
Title
Adminstrator
Phone
(252) 212-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1124 Clark St
Rocky Mount, NC 27801-5735

Mailing address

1124 Clark St
Rocky Mount, NC 27801-5735
Phone (252) 212-9888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1689976169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 CLARK ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015735",
            "telephone_number": "252-212-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 CLARK ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015735",
            "telephone_number": "252-212-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAZING WOMEN OF GOD ADULT GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "MINNIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "252-212-9888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.