ROSA BRADLEY'S HOME FOR ADULTS,LLC (NPI# 1902083801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902083801 |
| Entity Type | Organization |
| Organization Name | ROSA BRADLEY'S HOME FOR ADULTS,LLC |
| Practice Address |
2215 North Memorial Drive Greenville NC 27834-5026 |
| Mailing Address |
Po Box 819 Greenville NC 27835-0819 |
| Practice Telephone | 2527523237 |
| Mailing Telephone | 2527523237 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | DR. REGINALD KEITH SHERARD (OWNER) |
| Authorized Official Telephone | 2527523237 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FCL-074-035 | NC | Nursing & Custodial Care Facilities |
| Street Address |
2215 NORTH MEMORIAL DRIVE |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104946433 | Rosa Bradley Home for Adults | Assisted Living Facility | 2215 North Memorial Drive, Greenville, NC 27835 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
| 1104946433 | Rosa Bradley Home for Adults | Assisted Living Facility | 2215 North Memorial Drive, Greenville, NC 27835 | 2007-03-30 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on ROSA BRADLEY'S HOME FOR ADULTS,LLC.
| 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.