Organization Active NPI

Rojae's Creation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rocky Mount, NC
National Provider Identifier
1902047095
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-033-055 Issued in NC
Legal business name
ROJAE'S CREATION
Practice address
417 N Parker St
Rocky Mount, NC 27801-5871
Phone
(252) 446-4343
Fax
(252) 446-4343
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Minnie C Whitehead
Title
Owner
Phone
(252) 446-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-033-055 NC Primary

Addresses

Primary practice location

417 N Parker St
Rocky Mount, NC 27801-5871

Mailing address

417 N Parker St
Rocky Mount, NC 27801-5871
Phone (252) 446-4343

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1902047095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N PARKER ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015871",
            "telephone_number": "252-446-4343",
            "fax_number": "252-446-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N PARKER ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015871",
            "telephone_number": "252-446-4343",
            "fax_number": "252-446-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROJAE'S CREATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "MINNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-446-4343"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-033-055",
            "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 Mar 18, 2009; 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.