Healthcare Provider Details

I. General information

NPI: 1497784698
Provider Name (Legal Business Name): ROSE OF SHARON COVENANT MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MORROW AVE
PINEVILLE NC
28134-6528
US

IV. Provider business mailing address

700 MORROW AVE
PINEVILLE NC
28134
US

V. Phone/Fax

Practice location:
  • Phone: 704-889-1548
  • Fax: 704-889-1180
Mailing address:
  • Phone: 704-889-1548
  • Fax: 704-889-1180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3145
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHIRLEY W STEVENSON
Title or Position: DIRECTOR
Credential:
Phone: 704-889-1548