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NCAL - ROCKY MOUNT INC. NPI 1083779383


NPI Information

NPI: 1083779383
Provider Name: NCAL - ROCKY MOUNT, INC.

Doing Business As: SOMERSERT COURT OF ROCKY MOUNT

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
918 WESTWOOD DR
ROCKY MOUNT, NC
ZIP 27803
Phone: (252) 443-5592
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NCAL - ROCKY MOUNT, INC. is an adult care home custodial care facility in Rocky Mount, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. NCAL - ROCKY MOUNT, INC. NPI is 1083779383. The provider is registered as an organization entity type.
The provider Is Doing Business As Somersert Court Of Rocky Mount.

The provider's business location address is:

918 WESTWOOD DR
ROCKY MOUNT, NC
ZIP 27803-532
Phone: (252) 443-5592
Fax: (252) 446-6969

The provider's authorized official is William Benton .
The authorized official title is Ceo and has the following contact phone number (336) 724-1000.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 11/8/2013.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeHAL-064-010NORTH CAROLINAYes

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
17804017MEDICAIDNORTH 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

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