The Manor at Riverbrooke

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

THE MANOR AT RIVERBROOKE

Practice address

3120 Tuckland Drive
Raleigh, NC 27610-5257

Phone

(919) 301-8525

Fax

(919) 803-1649

NPI assigned

Apr 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ellen Esliker, RN

Title

Administrator

Phone

(919) 264-0775

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1003107277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 STORMY LANE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106074",
            "telephone_number": "919-264-0775",
            "fax_number": "919-803-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 TUCKLAND DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105257",
            "telephone_number": "919-301-8525",
            "fax_number": "919-803-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANOR AT RIVERBROOKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "ESLIKER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-264-0775",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Kelly Eye Center PA
• The Kenyon-Denome Alliances
• The Lee Way Therapy & Consulting, PLLC
• The Life Renewal Center, Inc.
• The Longevity Doctor, PLLC
• The Medical Supercenter of Raleigh, Inc.
• The Mental Health Association in North Carolina, Inc.
• The Methodist Home for Children, in.C
• The Mindful Connection, PLLC
• The Neuropsychology Consultants, PA

• Lodging Provider in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Lodging Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.