Rouse'S Group Home, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Stoneville, NC
NPI 1841336062 · NPPES record last updated Sep 10, 2015
Key facts
- NPI
- 1841336062
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- MHL-079-004 (NC)
- Legal business name
- ROUSE'S GROUP HOME, INC.
- Practice address
- 5949 NC 135
Stoneville, NC 27048-8479 - Phone
- (336) 427-8562
- Fax
- (336) 427-2978
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Debra Renee Rouse
- Title
- Administrator
- Phone
- (336) 427-0609
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Rouse'S Group Home Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL-079-004 | NC | Yes |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL-079-047 | NC |
Addresses
Primary practice location
5949 NC 135
Stoneville, NC 27048-8479
Mailing address
5949 NC 135
Stoneville, NC 27048-8479
Phone (336) 427-2532
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340611X | Medicaid | NC | |
| 3406301 | Medicaid | NC |
Other providers in Stoneville, NC
- Elretha J Perkins
- Regal Legacy Group LLC
- Regal Legacy Group LLC
- Roslyn Reynolds
- Rouse'S Group Home Inc
- Soona'S Homes LLC
- Stat Mobile Imaging, LLC
- Tomlin Creek Ridge
All providers in Stoneville, NC · Intellectual Disabilities Intermediate Care Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.