SCI NASH HOUSE I NPI 1073863296

NPI Information

  • NPI: 1073863296
  • Provider Name: SCI NASH HOUSE I
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 1045 KINCHEN DR
    ROCKY MOUNT, NC
    ZIP 27803
  • Phone: (252) 442-1055

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NPI Details

SCI NASH HOUSE I is an intermediate care facility mentally retarded in Rocky Mount, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SCI NASH HOUSE I NPI is 1073863296. The provider is registered as an organization entity type.

The provider's business location address is:

1045 KINCHEN DR
ROCKY MOUNT, NC
ZIP 27803-612
Phone: (252) 442-1055

The provider's authorized official is Paul Hakcmann .
The authorized official title is Ceo and has the following contact phone number (919) 734-7398.

The enumeration date for this NPI number is 9/14/2012 and was last updated on 1/18/2019.

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
1313M00000XNursing Facility/Intermediate Care FacilityMHL-064-012NORTH CAROLINANo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL-064-012NORTH 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
13406133MEDICAIDNORTH 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: 11/21/2025

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