ROUSES GROUP HOME INC (NPI# 1104294966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104294966 |
| Entity Type | Organization |
| Organization Name | ROUSES GROUP HOME INC |
| Other Organization Name | CEDAR PLACE |
| Practice Address |
1103 Center Church Rd Eden NC 27288-5523 |
| Mailing Address |
Po Box 16 Stoneville NC 27048-0016 |
| Practice Telephone | 3366238111 |
| Practice Fax Number | 3364272929 |
| Mailing Telephone | 3364272562 |
| Mailing Fax Number | 3364272978 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Authorized Official Name | DEBRA R ROUSE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3364270609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 079-053 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 340611X | 05 |
| Other Name | Type Code |
|---|---|
| Cedar Place | Other Name - Individual/Organization |
| Street Address |
1103 CENTER CHURCH RD |
| City | EDEN |
| State | NC |
| Zip Code | 27288-5523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417492745 | But God LLC | Assisted Living Facility | 1408 W Fieldcrest Rd, Eden, NC 27288-3932 | 2016-12-22 |
| 1407031578 | Holman-hampton | Assisted Living Facility | 1031 Sharpe Ave, Eden, NC 27288-3729 | 2008-01-08 |
| 1770707929 | Cornerstone Assisted Living | Assisted Living Facility | 424 Glovenia St, Eden, NC 27288-4844 | 2007-04-12 |
| 1689796278 | Leaksville Rest Home #2 | Assisted Living Facility | 914 Irving Ave, Eden, NC 27288-5510 | 2007-04-04 |
| 1447372164 | Eula K Arthur | Assisted Living Facility | 915 Irving Ave, Eden, NC 27288-5509 | 2007-04-04 |
| 1548387228 | Holt Family Care | Assisted Living Facility | 323 Greenwood St, Eden, NC 27288-5641 | 2007-03-26 |
| 1093870123 | Southern Assisted Living, LLC. | Assisted Living Facility | 314 W Kings Hwy, Eden, NC 27288-5012 | 2006-12-27 |
| 1699338327 | Ultimate Care Assisted Living Facility | Assisted Living Facility | 104 The Blvd, Eden, NC 27288-4704 | 2019-04-18 |
| 1982168571 | Family First Assisted Living LLC | Assisted Living Facility | 424 Glovenia St, Eden, NC 27288-4844 | 2019-01-28 |
| 1699147314 | Life Stages Assisted Living LLC | Assisted Living Facility | 424 Glovenia St, Eden, NC 27288-4844 | 2015-10-21 |
| Find all providers in EDEN | ||||
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| 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.