Evergreen Road Facility
Evergreen Road Facility is a healthcare organization registered as Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rocky Mount, NC, holding Type 2 (organization) NPI 1043409584 since 2007. The authorized official on file is Duane Brickhouse, Controller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043409584 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evergreen Road Facility |
| Other name | <Unavail> |
| Practice address | 827 EVERGREEN RD, Rocky Mount, NC, 27803 |
| Phone | 2524468675 |
| Enumeration date | 2007-10-22 |
| Last updated in NPPES | 2007-10-22 |
Authorized official
| Name | Duane Brickhouse |
|---|---|
| Title | Controller |
| Phone | 4109101489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Primary | 064-079 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064-079 | Other | NC | LICENSE |
| 7804569 | Medicaid | NC | — |
Copy-ready billing details
Provider: Evergreen Road Facility NPI: 1043409584 Taxonomy: 320600000X (Intellectual and/or Developmental Disabilities Residential Treatment Facility) Address: 827 EVERGREEN RD, Rocky Mount, NC, 27803
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235367178 | Monarch | Organization | Adult Care Home Facility | Rocky Mount, NC |
Verify this record
Cross-check NPI 1043409584 against the authoritative CMS record: view Evergreen Road Facility on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Evergreen Road Facility located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-22.