Cinnamon Ridge

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-041-038 Issued in NC

Legal business name

CINNAMON RIDGE

Practice address

3211 Groometown Rd
Greensboro, NC 27407-6517

Phone

(336) 855-5913

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Horace Jenkins

Title

Director

Phone

(336) 855-5913

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295950830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 GROOMETOWN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076517",
            "telephone_number": "336-855-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 GROOMETOWN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076517",
            "telephone_number": "336-855-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINNAMON RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "HORACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-855-5913"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-041-038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803957",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanie Spence Church, RN
• Kimberly C Church
• Lani Raine Church, RN
• Shimica Church, RN
• Olivia Cil
• Cinnamon Ridge Family Care Home
• Lindsey Cirigliano
• Mary Kenney Cirigliano, D.O.
• Arlene Cisneros
• Abigail Blair Citty

• Adult Care Home Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Care Home 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.