Rockerfeller Crews Educational Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6591798 Issued in NC

Legal business name

ROCKERFELLER CREWS EDUCATIONAL FOUNDATION

Practice address

824 Waugh St
Greensboro, NC 27405-6074

Phone

(336) 255-8017

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

LC Crews

Title

Ceo

Phone

(336) 255-8017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1962891135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREY OAKS CIR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085700",
            "telephone_number": "336-255-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 WAUGH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056074",
            "telephone_number": "336-255-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKERFELLER CREWS EDUCATIONAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "LC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-255-8017"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "6591798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robland Homecare LLC
• Michael Gavin Robson, MD
• Kimberlee R Roche, PA-C
• Michael James Roche, PA-C
• Jennifer Kowalsky Rock, CRNA
• Toni Johnette Rockholt-Smith, DO
• Regina Jo Roczniak, PA-C
• Janet Lynn Rodden, M.ED.
• Myron Roddenberry, PA
• John Ryan Rodenbough, PSYD

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.