Organization Active NPI

Brookshire Inc

  • Skilled Nursing Facility
  • Hillsborough, NC
National Provider Identifier
1265430938
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0545 Issued in NC
Legal business name
BROOKSHIRE INC
Practice address
300 Meadowland Dr
Hillsborough, NC 27278-8502
Phone
(919) 644-6714
Fax
(919) 644-0812
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Mrs. Betty Butler Stevens, LNHA
Title
Administrator
Phone
(919) 644-6714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0545 NC Primary

Addresses

Primary practice location

300 Meadowland Dr
Hillsborough, NC 27278-8502

Mailing address

PO Box 1107
Hillsborough, NC 27278-1107
Phone (919) 644-6714

Other identifiers 1

IdentifierTypeStateIssuer
3425439MedicaidNC

Other names 1

  • Brookshire Nursing Center 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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1265430938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272781107",
            "telephone_number": "919-644-6714",
            "fax_number": "919-644-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEADOWLAND DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788502",
            "telephone_number": "919-644-6714",
            "fax_number": "919-644-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "BUTLER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-644-6714",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425439",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookshire Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.