Rockwell Development Center, Inc. - Stickney House

LBN: Rockwell Development Center, Inc. - Stickney House
Rockwell Development Center, Inc. - Stickney House is an health care organization with primary practice located at 120 Rockwell Loop , Mooresville NC 28115-9741. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Rockwell Development Center, Inc. - Stickney House can be contacted via phone (704) 987-2096, or through Oke, Lynn Ellen via phone (704) 987-2096.

Contact Information

Primary practice address
120 Rockwell Loop Mooresville NC 28115-9741
Phone: (704) 987-2096
Fax: (704) 987-2096
Website:
Map and Directions
Authorized official contact:
Name: Oke, Lynn Ellen RN, BSN, MS, QP
Phone: (704) 987-2096

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-049-098 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-049-098 North Carolina
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X MHL-049-098 North Carolina

Profile Details

NPI number 1972650414
LBN Legal business name Rockwell Development Center, Inc. - Stickney House
DBA Doing business as
Authorized official Oke, Lynn Ellen RN, BSN, MS, QP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Dec 7th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972650414 NPPES
North Carolina MEDICAID 6603887

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