Nazareth Children's Home

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

P005001 Issued in NC

Legal business name

NAZARETH CHILDREN'S HOME

Practice address

725 Crescent Road
Nazareth Children's Home
Rockwell, NC 28138

Phone

(704) 279-5556

NPI assigned

Sep 8, 2010

Last updated

Sep 8, 2010By 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

Mr. Ronnie Donnell Glover, MSW, P-LCSW

Title

Clinical Social Worker

Phone

(704) 279-5556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1710294012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 1438",
            "address_2": "NAZARETH CHILDREN'S HOME",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "28138",
            "telephone_number": "704-279-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CRESCENT ROAD",
            "address_2": "NAZARETH CHILDREN'S HOME",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "28138",
            "telephone_number": "704-279-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "DONNELL",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "704-279-5556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, P-LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "P005001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine A. McSwain
• Rebecca R. Moore
• Amanda Nantz, LPCA
• National Pharmaceutical Network Inc (Village Pharmacy 3962)
• Nazareth Children's Home
• Nazareth Childrens Home
• Nazareth Childrens Home (Nazareth Child & Family Connection)
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07566)
• Novant Health Medical Group, LLC (Novant Health Primary Care East Rowan)
• Joseph Andrew Oliver III, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Rockwell, NC
• Providers in Rockwell, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.