God'S Destiny Family Care Home

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

FCL-064-025 Issued in NC

Legal business name

GOD'S DESTINY FAMILY CARE HOME

Practice address

107 Greenwood Ave
Rocky Mount, NC 27804-3739

Phone

(252) 443-3521

Fax

(252) 443-3521

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Brooke Amelia JordanNPI 1952730921

Title

Owner/Administrator

Phone

(252) 567-7821

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Amelia Jordan

  • In Home Supportive Care Agency
  • Rocky Mount, NC
  • NPI 1952730921
  NPD (past) Authorized official

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1871916189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BIRDIE CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048611",
            "telephone_number": "252-443-3521",
            "fax_number": "252-443-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GREENWOOD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043739",
            "telephone_number": "252-443-3521",
            "fax_number": "252-443-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOD'S DESTINY FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "252-567-7821",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "FCL-064-025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa D Gibson, ANP GNP
• Lucretia Glass-Wooten
• Glorified Healthcare, PLLC
• Cameron Lowry Glover, PHARMD
• Kellie Glover, NP
• God'S Grace Behavioral Homes
• Jennifer B Godrich
• Gods Promises of Rocky Mount, Inc
• Kathleen Gogarty-Gajan, MA, CCC/SLP
• Luisa Fernanda Gonzalez, MD

• Adult Mental Health Clinic/Center in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.