NPIMap

Organization Active NPI

Rouse's Group Home, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Stoneville, NC
National Provider Identifier
1841336062
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL-079-004 Issued in 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
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Debra Renee Rouse
Title
Administrator
Phone
(336) 427-0609

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-079-004 NC Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841336062. Details of each certification follow.

  • CCN 34G020 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G020

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROUSE'S GROUP HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 28, 1984
Last certification
Aug 27, 2025
Beds
30
Ownership / control type
Private (non-profit)
Facility address
5949 NC 135
Stoneville, NC 27048

National Provider Directory

National Provider Directory
Tax ID family
Rouse's Group Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1841336062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 NC 135",
            "city": "STONEVILLE",
            "state": "NC",
            "postal_code": "270488479",
            "telephone_number": "336-427-2532",
            "fax_number": "336-427-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 NC 135",
            "city": "STONEVILLE",
            "state": "NC",
            "postal_code": "270488479",
            "telephone_number": "336-427-8562",
            "fax_number": "336-427-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSE'S GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-427-0609"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-079-004",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-079-047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneville, NC

Sources for this page

Verify at the official NPI Registry.