NPIMap

Organization Active NPI

Solid Foundation Facilities Inc

  • Psychologist
  • Ahoskie, NC
National Provider Identifier
1851692719
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
626 Issued in NC
Legal business name
SOLID FOUNDATION FACILITIES INC
Practice address
1321 First St W
Ahoskie, NC 27910-8842
Phone
(252) 209-8932
Fax
(252) 209-8933
NPI assigned
Nov 9, 2010
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
R Vernell Rodgers
Title
Ceo
Phone
(252) 794-2385

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC
Psychologist 103T00000X 626 NC Primary
Clinical Social Worker 1041C0700X 626 NC
In Home Supportive Care Agency 253Z00000X NC
Community/Behavioral Health Agency 251S00000X 626 NC

Addresses

Primary practice location

1321 First St W
Ahoskie, NC 27910-8842

Mailing address

PO Box 709
Windsor, NC 27983-0709
Phone (252) 794-2385

Other identifiers 5

IdentifierTypeStateIssuer
8300760HMedicaidNC
8302968SMedicaidNC
8302968DMedicaidNC
8300759VMedicaidNC
8703090MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Solid Foundation Facilities Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1851692719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279830709",
            "telephone_number": "252-794-2385",
            "fax_number": "252-794-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 FIRST ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108842",
            "telephone_number": "252-209-8932",
            "fax_number": "252-209-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID FOUNDATION FACILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "VERNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-794-2385"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "626",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "626",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300760H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302968S",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302968D",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300759V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703090",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.