ROANOKE DEVELOPMENTAL CENTER INC (NPI# 1316095052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316095052 |
| Entity Type | Organization |
| Organization Name | ROANOKE DEVELOPMENTAL CENTER INC |
| Practice Address |
609 Adams St Plymouth NC 27962-1813 |
| Mailing Address |
Po Box 967 Plymouth NC 27962-0967 |
| Practice Telephone | 2527935077 |
| Practice Fax Number | 2527939144 |
| Mailing Telephone | 2527935077 |
| Mailing Fax Number | 2527939144 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | DR. ZEBEDEE TAYLOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2527935077 |
| Authorized Official Credential | MSW, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | MHL-094-002 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804441 | 05 | |
| NC | 7804440 | 05 | |
| NC | 7804498 | 05 | |
| NC | 8300667 | 05 | |
| NC | 7804439 | 05 | |
| NC | 3408386 | 05 |
| Street Address |
609 ADAMS ST |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407000706 | Pathfinders of Coastal Carolina, Inc. | Day Training, Developmentally Disabled Services | 125-a. West Water St., Plymouth, NC 27962-1305 | 2008-11-13 |
| 1821201187 | Marshall-starke Development Center, Inc | Day Training, Developmentally Disabled Services | 1901 Pidco Dr, Plymouth, IN 46563-1362 | 2007-05-07 |
| 1770703852 | Habilitation Assistance Corporation | Day Training, Developmentally Disabled Services | 434 Court St, Plymouth, MA 02360-7312 | 2007-04-30 |
| 1457579229 | Road To Responsibility, Inc. | Day Training, Developmentally Disabled Services | 208 S Meadow Rd, Plymouth, MA 02360-4776 | 2007-04-24 |
| 1063552347 | Bridging The Gap Preferred Inc | Day Training, Developmentally Disabled Services | 504 E 3rd St, Plymouth, NC 27962-1419 | 2007-02-07 |
| 1932265063 | Covenant Healthcare,llc | Day Training, Developmentally Disabled Services | 115 E Water St, Plymouth, NC 27962-1329 | 2007-01-01 |
| 1033535034 | Opportunity Partners Inc. | Day Training, Developmentally Disabled Services | 11754 191st Avenue Northwest, Plymouth, MN 55442-3203 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROANOKE DEVELOPMENTAL CENTER INC.
| 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.