Provider Demographics
NPI:1255488086
Name:LE CHRIS ADULT DAY CARE OF ROCKY MOUNT, INC.
Entity type:Organization
Organization Name:LE CHRIS ADULT DAY CARE OF ROCKY MOUNT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:HAWKINS
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-636-6105
Mailing Address - Street 1:130 JONES RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2349
Mailing Address - Country:US
Mailing Address - Phone:252-451-1333
Mailing Address - Fax:252-451-1558
Practice Address - Street 1:3525 AIRPORT BLVD NW STE A
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-8663
Practice Address - Country:US
Practice Address - Phone:252-243-2339
Practice Address - Fax:252-243-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300274Medicaid
NC8300274HMedicaid
NC8300274BMedicaid
NC8300274GMedicaid