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SOLID FOUNDATION FACILITIES INCORPORATED NPI 1164504395


NPI Information

NPI: 1164504395
Provider Name: SOLID FOUNDATION FACILITIES INCORPORATED
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
208 DUNDEE ST
WINDSOR, NC
ZIP 27983
Phone: (252) 794-4800
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SOLID FOUNDATION FACILITIES INCORPORATED is a community behavioral health in Windsor, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. SOLID FOUNDATION FACILITIES INCORPORATED NPI is 1164504395. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

208 DUNDEE ST
WINDSOR, NC
ZIP 27983-701
Phone: (252) 794-4800
Fax: (252) 794-4747

The provider's authorized official is R. Vernell Rodgers .
The authorized official title is Ceo President and has the following contact phone number (252) 794-2385.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 3/14/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist626NORTH CAROLINANo
21041C0700XSocial WorkerClinical626NORTH CAROLINANo
3103T00000XPsychologist626NORTH CAROLINANo
4101YP2500XCounselorProfessional626NORTH CAROLINANo
5251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1232104OTHERNORTH CAROLINAMEDICARE PTAN
28300759BMEDICAIDNORTH CAROLINA
35906030MEDICAIDNORTH CAROLINA
48300759HMEDICAIDNORTH CAROLINA
56005687MEDICAIDNORTH CAROLINA
68300760HMEDICAIDNORTH CAROLINA
78300760MEDICAIDNORTH CAROLINA
83408848MEDICAIDNORTH 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: 4/28/2024

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