ROCKY MOUNT TREATMENT CENTER LLC
NPI 1528594041
Clinic/Center - Rehabilitation, Substance Use Disorder in Rocky Mount, NC
NPI Status: Active since May 03, 2017
Contact Information
104 ZEBULON CT
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 972-4357
Fax: (252) 972-1911
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 34D2089895
- CLIA Cert. Type: Other - OUTPATIENT OPIUM CENTER
- CLIA Exp. Date: 01-11-2027
About ROCKY MOUNT TREATMENT CENTER LLC
This page provides the complete NPI Profile along with additional information for Rocky Mount Treatment Center Llc, a provider established in Rocky Mount, North Carolina operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1528594041 assigned on May 2017. The practitioner's primary taxonomy code is 261QR0405X with license number MHL-064-089 (NC). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Macy Melissa Hamm J.d. (Ceo)
- NPI
- 1528594041
- Provider Name
- ROCKY MOUNT TREATMENT CENTER LLC
- Entity Type
- Organization
- Location Address
- 104 ZEBULON CT ROCKY MOUNT, NC 27804
- Location Phone
- (252) 972-4357
- Location Fax
- (252) 972-1911
- Mailing Address
- 1112 SILVER OAKS CT RALEIGH, NC 27614
- Mailing Phone
- (252) 972-4357
- Mailing Fax
- (252) 972-1911
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-03-2017
- Last Update Date
- 10-30-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- MHL-064-089
- License State
- NC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | MHL-064-089 (NC) |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
This service was performed 332 times for 11 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2089895
- Facility Type
- Other - OUTPATIENT OPIUM CENTER
- Certificate Effective Date
- January 12, 2025
- Certificate Expiration Date
- January 11, 2027
- Laboratory Director
- ROBYN MITCHELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rocky Mount Treatment Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 5 | 9 | 4 | 0 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 10 | 9 | 8 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 0 + 9 + 8 + 0 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1528594041 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942552203 | ROBIN GRAY Individual | Counselor (Addiction (Substance Use Disorder)) | 104 ZEBULON CT ROCKY MOUNT, NC 27804 (252) 972-4357 |
| 1093761579 | UNITED VISIONS HEALTHCARE Organization | Home Health | 104 ZEBULON CT ROCKY MOUNT, NC 27804 (252) 937-2199 |
| 1053518167 | UNITED VISIONS HEALTHCARE, INC Organization | Home Health | 104 ZEBULON CT ROCKY MOUNT, NC 27804 (252) 937-2199 |
| 1215449012 | KEIRSTIN COTTO LCMHCA, LCAS, CSI Individual | Counselor (Addiction (Substance Use Disorder)) | 104 ZEBULON CT ROCKY MOUNT, NC 27804 (252) 972-4357 |
| 1508004110 | MS. ANNA MARIE CRIST NP Individual | Nurse Practitioner (Adult Health) | 104 ZEBULON CT ROCKY MOUNT, NC 27804 (252) 972-4357 |
| 1477395978 | ANGEL WILSON LPN Individual | Licensed Practical Nurse | 104 ZEBULON CT ROCKY MOUNT, NC 27804 (252) 532-3300 |
| 1982418604 | HUNTER ANDREWS Individual | Counselor (Addiction (Substance Use Disorder)) | 104 ZEBULON CT ROCKY MOUNT, NC 27804 (252) 972-4367 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528594041, enumerated in the NPI registry as an "organization" on May 03, 2017
The provider is located at 104 Zebulon Ct Rocky Mount, Nc 27804 and the phone number is (252) 972-4357
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm.
The provider's CLIA number is 34D2089895 for a "other - outpatient opium center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 03, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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