Heritage Care of Rocky Mount

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-033-005 Issued in NC

Legal business name

HERITAGE CARE OF ROCKY MOUNT

Practice address

1650 Cokey Rd
Rocky Mount, NC 27801-6925

Phone

(252) 977-6199

Fax

(252) 977-6510

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie Pierce

Title

Managing Partner

Phone

(336) 643-0555

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1841320249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273100878",
            "telephone_number": "336-643-0555",
            "fax_number": "336-643-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COKEY RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016925",
            "telephone_number": "252-977-6199",
            "fax_number": "252-977-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CARE OF ROCKY MOUNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "336-643-0555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-033-005",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-033-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804341",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tiffany Gragg Hendren, R.D., L.D.N.
• Robert A Hendrix, M.D.
• Karina Hernandez, RBT
• Herring Eye Associates OD, PLLC
• Agen J Herring, O.D.
• Emily Claire Hess, PA-C
• Luke Matthew Heuts, PHARMD

• Adult Care Home Facility in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.