Provider Demographics
NPI:1043368533
Name:AGING, DISABILITY & TRANSIT SERVICES OF ROCKINGHAM COUNTY
Entity type:Organization
Organization Name:AGING, DISABILITY & TRANSIT SERVICES OF ROCKINGHAM COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:B
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:336-349-2343
Mailing Address - Street 1:105 LAWSONVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-3939
Mailing Address - Country:US
Mailing Address - Phone:336-349-2343
Mailing Address - Fax:336-342-6714
Practice Address - Street 1:105 LAWSONVILLE AVE
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-3939
Practice Address - Country:US
Practice Address - Phone:336-349-2343
Practice Address - Fax:336-342-6714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0785251E00000X
253Z00000X, 261QA0600X, 332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600244Medicaid
NC3408263Medicaid