Organization Active NPI

Brekenridge Retirement Center

  • Assisted Living Facility
  • Rocky Mount, NC
National Provider Identifier
1265565998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-064-004 Issued in NC
Legal business name
BREKENRIDGE RETIREMENT CENTER
Practice address
2500 Hunter Hill Rd
Rocky Mount, NC 27804-6120
Phone
(252) 443-5400
Fax
(252) 443-3199
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Bartholomew
Title
Administrator
Phone
(252) 443-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-064-004 NC Primary

Addresses

Primary practice location

2500 Hunter Hill Rd
Rocky Mount, NC 27804-6120

Mailing address

2500 Hunter Hill Rd
Rocky Mount, NC 27804-6120
Phone (252) 443-5400

National Provider Directory

National Provider Directory

Locations

2500 Hunter Hill Rd
Rocky Mount, NC 27804
Phone (252) 443-5400

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265565998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HUNTER HILL RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046120",
            "telephone_number": "252-443-5400",
            "fax_number": "252-443-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HUNTER HILL RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046120",
            "telephone_number": "252-443-5400",
            "fax_number": "252-443-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREKENRIDGE RETIREMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-443-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-064-004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • 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.