ROBESON HEALTH CARE CORPORATION (NPI# 1063554004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063554004 |
| Entity Type | Organization |
| Organization Name | ROBESON HEALTH CARE CORPORATION |
| Other Organization Name | OUR HOUSE |
| Practice Address |
309 East Wardell Drive Suite A Pembroke NC 28372-7998 |
| Mailing Address |
60 Commerce Plaza Cir Pembroke NC 28372-7386 |
| Practice Telephone | 9105211464 |
| Practice Fax Number | 9105211852 |
| Mailing Telephone | 9105212900 |
| Mailing Fax Number | 9107759165 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | MR. TIM HALL (DIRECTOR OF BEHAVIORAL HEALTH SVCS) |
| Authorized Official Telephone | 9105212900 |
| Authorized Official Credential | M.DIV. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MHL-078-062 | NC | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | MHL-078-062 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300812P | 05 | |
| NC | 8300812G | 05 | |
| NC | 8300812Q | 05 | |
| NC | 8300812B | 05 | |
| NC | 6005789 | 05 | |
| NC | 8300812 | 05 |
| Other Name | Type Code |
|---|---|
| Our House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972157220 | Robeson Health Care Corporation | Clinic/Center | 1309 E 5th St Ste A, Lumberton, NC 28358-6031 | 2019-07-25 |
| 1083053359 | Robeson Health Care Corporation | Pharmacy | 1309 E 5th St, Lumberton, NC 28358-6031 | 2013-06-20 |
| 1750648077 | Robeson Health Care Corporation | Clinic/Center | 507 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2012-04-12 |
| 1023146313 | Robeson Health Care Corporation | Case Management | 60 Commerce Drive, Pembroke, NC 28372 | 2007-03-01 |
| 1023150968 | Robeson Health Care Corporation | Counselor | 109 Cambridge Pl, Smithfield, NC 27577-4717 | 2007-02-13 |
| 1689716607 | Robeson Health Care Corporation | Counselor | 285 Camp Easter Rd, Lakeview, NC 28350-1901 | 2007-02-13 |
| 1669514683 | Robeson Health Care Corporation | Counselor | 3750 Meadow View Rd, Apt. A-1, Lumberton, NC 28358-1920 | 2007-02-13 |
| 1063554095 | Robeson Health Care Corporation | Counselor | 3362 Frontgate Dr Apt 11, Greenville, NC 27834-8584 | 2007-02-13 |
| 1184681496 | Robeson Health Care Corporation | Counselor | 1309 E 5th Str, Lumberton, NC 28358-6031 | 2006-04-28 |
| 1093772410 | Robeson Health Care Corporation | Counselor | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364 | 2006-04-28 |
| Street Address |
309 EAST WARDELL DRIVE SUITE A |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-7998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528516861 | Rock Island Special Education & Behavior Services, LLC | Community/Behavioral Health | 34 Anthony Dr, Pembroke, MA 02359-2129 | 2016-09-15 |
| 1962784397 | Foundation for Families, LLC | Community/Behavioral Health | 30 Three Hunts Dr, Suite B, Pembroke, NC 28372-7316 | 2011-09-12 |
| 1013241751 | Crossroads Associates | Community/Behavioral Health | 406 Blaine St, Pembroke, NC 28372-9640 | 2009-09-29 |
| 1982834073 | Chaparral Youth Services | Community/Behavioral Health | 56 Three Hunts Dr, Pembroke, NC 28372-8998 | 2009-07-23 |
| 1306070644 | Ms. Shelvie's Professional Center | Community/Behavioral Health | 518 Union Chapel Rd, Pembroke, NC 28372-9532 | 2009-05-14 |
| 1376784215 | Southeastern United Care, LLC | Community/Behavioral Health | 30 Drakes Branch Dr., Pembroke, NC 28372-7325 | 2009-03-23 |
| 1487894408 | Comfort Care Services, LLC | Community/Behavioral Health | 112 East Third Street, Pembroke, NC 28372-8684 | 2009-03-03 |
| 1316191448 | Crossroads Associates | Community/Behavioral Health | 306-a Normal St, Pembroke, NC 28372-1148 | 2008-11-17 |
| 1942468871 | Positive Progress Services | Community/Behavioral Health | 305 East Third Street, Ste 5, Pembroke, NC 28737-8372 | 2008-05-28 |
| 1669655353 | Native American Interfaith Ministries | Community/Behavioral Health | 450 Prospect Road, Pembroke, NC 28372 | 2007-12-17 |
| Find all providers in PEMBROKE | ||||
Please comment or provide details below to improve the information on ROBESON HEALTH CARE CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.