ROGERS DEVELOPMENT GROUP NPI 1053475947

NPI Information

NPI: 1053475947
Provider Name: ROGERS DEVELOPMENT GROUP

Doing Business As: CROSS CREEK GROUP HOMES

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
321 WILSON ST
LAURINBURG, NC
ZIP 28352
Phone: (910) 277-9281
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ROGERS DEVELOPMENT GROUP is a residential treatment facility, intellectual and/or developmental disabilities in Laurinburg, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. ROGERS DEVELOPMENT GROUP NPI is 1053475947. The provider is registered as an organization entity type.
The provider Is Doing Business As Cross Creek Group Homes.

The provider's business location address is:

321 WILSON ST
LAURINBURG, NC
ZIP 28352-533
Phone: (910) 277-9281
Fax: (910) 277-9278

The provider's authorized official is Peggy Rogers Mcravin .
The authorized official title is Director and has the following contact phone number (910) 277-9280.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-083-019	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6603026	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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