ROSE OF SHARON ADOLESCENT TREATMENT HOME
NPI 1194871483
Residential Treatment Facility, Emotionally Disturbed Children in Durham, NC

Q: What is Rose Of Sharon Adolescent Treatment Home's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since January 27, 2007

13 RHYN CT, DURHAM, NC 27704(919) 220-2492(919) 550-2648 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rose Of Sharon Adolescent Treatment Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE OF SHARON ADOLESCENT TREATMENT HOME (NPI 1194871483) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Durham, North Carolina and active in the NPI registry since January 2007. The organization lists Sharon W Pettiford, Ceo-owner, as its authorized official.

NPPES Registry Identity

NPI1194871483

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameROSE OF SHARON ADOLESCENT TREATMENT HOME

Location Address13 RHYN CTDurham, NC 27704-2359

Mailing Address161 Kentucky Derby DrClayton, NC 27520-6080 · (919) 550-2648 · Fax (919) 220-1185

Phone(919) 220-2492

Fax(919) 550-2648

Organization SubpartYes

Authorized OfficialSharon W PettifordCeo-owner · (919) 550-2648

Enumeration DateJanuary 27, 2007

Last NPPES UpdateJune 16, 2008

✔ NPI 1194871483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in NC · MHL 032275

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

13 RHYN CT, Durham, NC 27704

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Other Identifiers 1

Medicaid6603291NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Of Sharon Adolescent Treatment Home's NPI number?

The NPI number for Rose Of Sharon Adolescent Treatment Home is 1194871483. It was assigned to this organization in the NPPES registry on January 27, 2007.

Where is Rose Of Sharon Adolescent Treatment Home located?

Rose Of Sharon Adolescent Treatment Home is located at 13 Rhyn Ct, Durham, NC 27704. The listed phone number is (919) 220-2492.

What is Rose Of Sharon Adolescent Treatment Home's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Rose Of Sharon Adolescent Treatment Home was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.