Brandin Manor FCH

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

FCL026016 Issued in NC

Legal business name

BRANDIN MANOR FCH

Practice address

220 Davis St
Fayetteville, NC 28305-5386

Phone

(910) 527-9898

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Arettia Robinson

Title

Owner

Phone

(910) 425-8954

Specialties & licenses 1

Addresses

Tax ID family

Brandin Manor FCH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pine Valley Adult Care Home

  • Physical Disabilities Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1982739488
  NPD tax ID

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1083801534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35534",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283030534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DAVIS ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055386",
            "telephone_number": "910-527-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDIN MANOR FCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ARETTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-425-8954"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "FCL026016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Bradshaw
• Marcella Brady
• Paul L. Bragg Jr., PA
• Claire Ellen Branaum, PT
• Jason Timothy Branch, LCSWA
• Erika Branham, MSW, LCSW
• Stephanie Gabrielle Branstetter
• Tenika Hooker Brantley, LCSWA
• Navpreet Brar, MD
• Madelynn Brashers

• Physical Disabilities Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.