ROSA BRADLEY HOME FOR ADULTS (NPI# 1104946433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104946433 |
| Entity Type | Organization |
| Organization Name | ROSA BRADLEY HOME FOR ADULTS |
| Practice Address |
2215 North Memorial Drive Greenville NC 27835 |
| Mailing Address |
Po Box 819 2215 N, Memorial Drive Greenville NC 27835-0819 |
| Practice Telephone | 2527581736 |
| Practice Fax Number | 2527581736 |
| Mailing Telephone | 2527581736 |
| Mailing Fax Number | 2527581736 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ZENORA D. GARDNER (ADMINISTRATOR) |
| Authorized Official Telephone | 2527581736 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FCL-074023 | NC | Nursing & Custodial Care Facilities |
| Street Address |
2215 NORTH MEMORIAL DRIVE |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902083801 | Rosa Bradley's Home for Adults,llc | Assisted Living Facility | 2215 North Memorial Drive, Greenville, NC 27834-5026 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659647485 | Lisa Dawn Collins | Speech-Language Pathologist | 850 Johns Hopkins Drive, Greenville, NC 27835 | 2012-03-27 |
| 1093998056 | Patrice Elaine Alexander | Counselor | 801 Mumford Road, Greenville, NC 27835 | 2007-12-13 |
| 1740237965 | Timothy Bart Guin | Nurse Practitioner | 2100 Stantonsburg Rd., Greenville, NC 27835 | 2006-05-31 |
| 1720039241 | East Carolina University | Family Medicine | Viquest, 2610 Stantonsburg Road, Greenville, NC 27835 | 2006-05-12 |
| 1730628629 | Elizabeth Mclawhorn | Physician Assistant | 850 Johns Hopkins Drive, Greenville, NC 27835 | 2017-02-13 |
| 1841571049 | Destini Hardy-stover | Occupational Therapist | 2100 Stantonsburg Rd, Greenville, NC 27835 | 2011-08-31 |
| 1255566154 | Teddie Wayne Gore | Nurse Practitioner | 2100 Stantonsburg Road, Echi At PCmh, Greenville, NC 27835 | 2009-05-20 |
| 1902931231 | Ashley G. Mccabe | Nurse Practitioner | 2100 Stantonsburg Road, East Carolina Heart Institute, Greenville, NC 27835 | 2007-02-23 |
| 1154472553 | Pamela Meadors Fox | Nurse Practitioner | 2100 Stantonsburg Road, Greenville, NC 27835 | 2007-01-15 |
| 1720157118 | Sydney Chhabra | Psychologist | 2100 Stantonsburg Road, Greenville, NC 27835 | 2006-11-07 |
| Find all providers in zip 27835 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680786 | Art Enterprise of Pitt Co. | Assisted Living Facility | 110 Pearl Dr, Greenville, NC 27834-8517 | 2016-02-24 |
| 1740668755 | Broadway Manor Limited Liability | Assisted Living Facility | 446 N Broadway Street, Greenville, MS 38701-2552 | 2015-05-11 |
| 1205249927 | Eastside Manor Inc. Dba Southern Oaks | Assisted Living Facility | 120 Roper Mountain Road Ext, Greenville, SC 29615-4823 | 2014-06-10 |
| 1710390810 | Gahcr II Greenville Alf Trs Sub, LLC | Assisted Living Facility | 605 S Dewey St, Greenville, IL 62246-2296 | 2014-06-05 |
| 1366764227 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1401 N Broadway St, Greenville, OH 45331-4300 | 2010-02-19 |
| 1184860918 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2105 W Arlington Blvd, Greenville, NC 27834-5744 | 2008-12-29 |
| 1093967218 | Cascades Nursing, LLC | Assisted Living Facility | 10 Fountainview Terrace, Greenville, SC 29607-4033 | 2008-10-21 |
| 1285821595 | Assisted Living Concepts Inc | Assisted Living Facility | 1275 Northview Drive, Greenville, OH 45331 | 2007-10-01 |
| 1093900425 | Emerald Glen Managment | Assisted Living Facility | 605 Dewey St, Greenville, IL 62246-2296 | 2007-09-10 |
| 1043337330 | Cortland Place Health Center, Inc | Assisted Living Facility | 20 Austin Avenue, Greenville, RI 02828 | 2007-03-23 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27835 |
Please comment or provide details below to improve the information on ROSA BRADLEY HOME FOR ADULTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.