BHM Salem Terrace LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-034-078 Issued in NC

Legal business name

BHM SALEM TERRACE LLC

Practice address

2609 Old Salisbury Rd
Winston Salem, NC 27127-5903

Phone

(336) 760-5740

Fax

(336) 760-5741

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey T Kazer

Title

Cheif Operating Officer

Phone

(336) 760-5740

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013067073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 OLD SALISBURY RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275903",
            "telephone_number": "336-760-5740",
            "fax_number": "336-760-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 OLD SALISBURY RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275903",
            "telephone_number": "336-760-5740",
            "fax_number": "336-760-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHM SALEM TERRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-760-5740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-034-078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805549",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonum Bharill, M.D.
• Naeem Ahmed Bhatti, MD
• Prashant Dattatraya Bhave, MD
• Rupali Roy Bhave, MD
• Sonam Bhimbra, ND
• Kush Bhorania, M.D.
• Dean Bhula, M.D.
• Anitha Bhuvaneswaran, PA-C
• Lynda Bridges Bialobrzeski, M.D.
• Kristina Margaret Lindefjeld Bianco, MD

• Assisted Living Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.