ROSE OF SHARON ADOLESCENT TREATMENT HOME II
NPI 1629113170
Residential Treatment Facility, Emotionally Disturbed Children in Clayton, NC

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

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

Active since February 21, 2007

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

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1629113170) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children 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

NPI1629113170

Entity TypeOrganization

Primary Taxonomy322D00000X

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

Phone(919) 553-3383

Fax(919) 550-2648

Organization SubpartYesParent: Rose Of Sharon Adolescent Treatment Home

Authorized OfficialSharon Winstead PettifordCeo · (919) 550-2648

Enumeration DateFebruary 21, 2007

Last NPPES UpdateJune 2, 2009

✔ NPI 1629113170 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 · 051153

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.

2885 BENNINGTON DR, Clayton, NC 27520

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Other Identifiers 1

Medicaid6604153NC

Other Providers at the Same Location NPPES

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

ROSE OF SHARON ADOLESCENT TREATMENT HOME II

Community Based Residential Treatment Facility, Mental Illness

2885 BENNINGTON DR
CLAYTON, NC 27520

Johnston County (919) 553-3383

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 1629113170. It was assigned to this organization in the NPPES registry on February 21, 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 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 II was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.