ROSE OF SHARON ADOLESCENT TREATMENT HOME II
NPI 1588709232
Community Based Residential Treatment Facility, Mental Illness in Clayton, NC

Active since February 20, 2007
2885 BENNINGTON DR, CLAYTON, NC 27520(919) 553-3383(919) 550-2648 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rose Of Sharon Adolescent Treatment Home Ii NPPES

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

ROSE OF SHARON ADOLESCENT TREATMENT HOME II (NPI 1588709232) is a healthcare organization registered as a community based residential treatment facility, mental illness in Clayton, North Carolina and active in the NPI registry since February 2007. The organization lists Sharon Winstead Pettiford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588709232
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameROSE OF SHARON ADOLESCENT TREATMENT HOME II
Location Address2885 BENNINGTON DRClayton, NC 27520-5971
Mailing Address161 Kentucky Derby DrClayton, NC 27520-6080 · (919) 550-2648 · Fax (919) 550-2648
Fax(919) 550-2648
Organization SubpartNo
Authorized OfficialSharon Winstead PettifordCeo · (919) 550-2648
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 14, 2008
NPI 1588709232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in NC · 051153
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2885 BENNINGTON DR, Clayton, NC 27520

Other Identifiers 1

Medicaid6603291NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Emotionally Disturbed Children
2885 BENNINGTON DR
CLAYTON, NC 27520

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 II's NPI number?

The NPI number for Rose Of Sharon Adolescent Treatment Home II is 1588709232. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Rose Of Sharon Adolescent Treatment Home II located?

Rose Of Sharon Adolescent Treatment Home II is located at 2885 Bennington Dr, Clayton, NC 27520. The listed phone number is (919) 553-3383.

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

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Rose Of Sharon Adolescent Treatment Home II was last updated on August 14, 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.