Provider Demographics
NPI:1255473351
Name:ROWAN HOMES, INC.
Entity Type:Organization
Organization Name:ROWAN HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURENS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:704-633-7370
Mailing Address - Street 1:215 GUFFY ST
Mailing Address - Street 2:P.O. BOX 4205
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-8956
Mailing Address - Country:US
Mailing Address - Phone:704-633-7370
Mailing Address - Fax:704-633-6424
Practice Address - Street 1:215 GUFFY ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-8956
Practice Address - Country:US
Practice Address - Phone:704-633-7370
Practice Address - Fax:704-633-6424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7804468320900000X
NC7804462320900000X
NC7804467320900000X
NC7804461320900000X
NC7804460320900000X
NC7804466320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities