OCTOBER ROAD INC. NPI 1801670385

NPI Information

  • NPI: 1801670385
  • Provider Name: OCTOBER ROAD INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Other Name: OCTOBER ROAD ACTT 4
  • Address: 3080 SUNSET AVE
    ROCKY MOUNT, NC
    ZIP 27804
  • Phone: (828) 606-9013

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NPI Details

OCTOBER ROAD INC. is a community behavioral health in Rocky Mount, 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. OCTOBER ROAD INC. NPI is 1801670385. The provider is registered as an organization entity type.
The provider Other Name Is October Road Actt 4.

The provider's business location address is:

3080 SUNSET AVE
ROCKY MOUNT, NC
ZIP 27804-647
Phone: (828) 606-9013

The provider's authorized official is Jason Hendricks .
The authorized official title is Ceo and has the following contact phone number (814) 940-0407.

The enumeration date for this NPI number is 8/24/2023 and was last updated on 4/10/2024.

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
1251S00000XCommunity/Behavioral HealthYes

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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