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Sci - Roanoke House
Intellectual Disabilities Intermediate Care Facility in Roanoke Rapids, North Carolina
NPI 1124031349

Sci - Roanoke House is a Intellectual Disabilities Intermediate Care Facility based in Goldsboro, NC. Sci - Roanoke House practices in Roanoke Rapids, NC. The NPI Number for Sci - Roanoke House is 1124031349 and holds a License No. (North Carolina).

The current practice location address for Sci - Roanoke House is 105 Clearfield Dr, Roanoke Rapids, NC and can be reached out via phone at 252-308-0902.

Location: 105 Clearfield Dr, Roanoke Rapids, NC, 27533-1636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124031349
Provider Name
Sci - Roanoke House
Credential
Provider Entity Type
Organization
Address
105 Clearfield Dr, Roanoke Rapids, NC, 27533-1636
Phone Number
252-308-0902
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406133 05 NC
3406234 05 NC
3406361 05 NC
3406416 05 NC
340605G 05 NC
3406243 05 NC
3406347 05 NC
3416197 05 NC
340603T 05 NC
3406250 05 NC
3406425 05 NC
3406401 05 NC
3406065 05 NC
3406339 05 NC
3406386 05 NC
3406370 05 NC
institution
Provider Business Practice Location Address Details
Address
105 Clearfield Dr
City
Roanoke Rapids
State
North Carolina
Zip
27870-3327
Phone Number
252-308-0902
Fax Number
person
Provider Business Mailing Address Details
Address
105 Clearfield Dr
City
Roanoke Rapids
State
North Carolina
Zip
27870-3327
Phone Number
252-308-0902
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
MHL-042-015 (North Carolina)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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