Organization Active NPI

RSS/King Operations, LLC

  • Adult Care Home Facility
  • King, NC
National Provider Identifier
1083360689
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RSS/KING OPERATIONS, LLC
Practice address
1294 Priddy Rd
King, NC 27021-7485
Phone
(336) 331-5953
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Jennilee Richardson
Title
Chief Financial Officer
Phone
(919) 371-4233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1294 Priddy Rd
King, NC 27021-7485

Mailing address

5430 Wade Park Blvd Ste 310
Raleigh, NC 27607-4191
Phone (919) 371-4233

Other names 1

  • Priddy Manor Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1083360689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 WADE PARK BLVD STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074191",
            "telephone_number": "919-371-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 PRIDDY RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270217485",
            "telephone_number": "336-331-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSS/KING OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JENNILEE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "919-371-4233"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priddy Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Priddy Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.