Organization Active NPI

Rising Kings Youth Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Rocky Mount, NC
National Provider Identifier
1891623872
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
RISING KINGS YOUTH HOME LLC
Practice address
907 Shearin St
Rocky Mount, NC 27801-5852
Phone
(252) 373-2631
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Lawrence Malik Daniels
Title
Director
Phone
(252) 373-2631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

907 Shearin St
Rocky Mount, NC 27801-5852

Mailing address

907 Shearin St
Rocky Mount, NC 27801-5852
Phone (252) 373-2631

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1891623872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SHEARIN ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015852",
            "telephone_number": "252-373-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SHEARIN ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015852",
            "telephone_number": "252-373-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING KINGS YOUTH HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MALIK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-373-2631"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.