Rosa Bradley Home for Adults

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-074023 Issued in NC

Legal business name

ROSA BRADLEY HOME FOR ADULTS

Practice address

2215 North Memorial Drive
Greenville, NC 27835

Phone

(252) 758-1736

Fax

(252) 758-1736

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Zenora D. Gardner

Title

Administrator

Phone

(252) 758-1736

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104946433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "address_2": "2215 N, MEMORIAL DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278350819",
            "telephone_number": "252-758-1736",
            "fax_number": "252-758-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NORTH MEMORIAL DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27835",
            "telephone_number": "252-758-1736",
            "fax_number": "252-758-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA BRADLEY HOME FOR ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ZENORA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-758-1736",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-074023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Rome
• Jonelle Carla Rhosheda Romero, DMD
• Ronald McDonald House Charities of Eastern North Carolina Inc
• Morgan Haley Roque
• Ryan Roque, DO
• Rosa Bradley'S Home for Adults,LLC
• Jeanne Carol Rosal, OTR/L
• Benjamin Jacob Rose, PT, DPT
• Jessica Snodgrass Rose, M.D.
• John D Rose, MD

• Assisted Living Facility in Greenville, NC
• Providers in Greenville, 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.