MEDICARE: ROCKWELL DEVELOPMENT CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1588411383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKWELL DEVELOPMENT CENTER, INC

Provider Business Mailing Address
First Line	:	PO BOX 94
Second Line	:
City	:	BARIUM SPRINGS
State	:	NC
Zip	:	28010-0094
Country	:	US
Telephone Number	:	704-614-0430
Fax Number	:	704-919-5590

Provider Business Practice Location Address
First Line	:	11330 VANSTORY DR STE 115
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8146
Country	:	US
Telephone Number	:	704-987-2096
Fax Number	:	704-919-5590

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MRS. TYLAR BRUMFIELD
Credential	:
Telephone Number	:	704-614-0430

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	01/19/2026

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