NPIMap

Organization Active NPI

Uprising Home Inc

  • Community/Behavioral Health Agency
  • Windsor, NC
National Provider Identifier
1700900313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPRISING HOME INC
Practice address
814 Governors Rd
Windsor, NC 27983-7650
Phone
(252) 794-5234
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Brenda Dameron
Title
Owner Director
Phone
(252) 794-5231

Specialties & licenses 1

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

Addresses

Primary practice location

814 Governors Rd
Windsor, NC 27983-7650

Mailing address

814 Governors Rd
Windsor, NC 27983-7650
Phone (252) 794-5234

Other identifiers 1

IdentifierTypeStateIssuer
8301114MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Uprising Homes Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700900313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 GOVERNORS RD",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279837650",
            "telephone_number": "252-794-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 GOVERNORS RD",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279837650",
            "telephone_number": "252-794-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPRISING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "252-794-5231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301114",
            "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 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.