ROSA BRADLEY HOME FOR ADULTS NPI 1104946433

NPI Information

NPI: 1104946433
Provider Name: ROSA BRADLEY HOME FOR ADULTS
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2215 NORTH MEMORIAL DRIVE
GREENVILLE, NC
ZIP 27835
Phone: (252) 758-1736
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ROSA BRADLEY HOME FOR ADULTS is an assisted living facility in Greenville, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ROSA BRADLEY HOME FOR ADULTS NPI is 1104946433. The provider is registered as an organization entity type.

The provider's business location address is:

2215 NORTH MEMORIAL DRIVE
GREENVILLE, NC
ZIP 27835
Phone: (252) 758-1736
Fax: (252) 758-1736

The provider's authorized official is Zenora D. Gardner .
The authorized official title is Administrator and has the following contact phone number (252) 758-1736.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		FCL-074023	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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