Healthcare Provider Details

I. General information

NPI: 1043368533
Provider Name (Legal Business Name): AGING, DISABILITY & TRANSIT SERVICES OF ROCKINGHAM COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 LAWSONVILLE AVE
REIDSVILLE NC
27320-3939
US

IV. Provider business mailing address

105 LAWSONVILLE AVE
REIDSVILLE NC
27320-3939
US

V. Phone/Fax

Practice location:
  • Phone: 336-349-2343
  • Fax: 336-342-6714
Mailing address:
  • Phone: 336-349-2343
  • Fax: 336-342-6714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CATHY B POWERS
Title or Position: EXECUTIVE DIRECTOR
Credential: MPA
Phone: 336-349-2343