North Brook Rest Home Inc
Organization Active NPI Assisted Living Facility · Vale, NC
NPI 1306963186 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1306963186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- HAL 055-004 (NC)
- Legal business name
- NORTH BROOK REST HOME INC
- Practice address
- 1611 Northbrook III School Rd
Vale, NC 28168-9636 - Phone
- (704) 276-3200
- NPI assigned
- Mar 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Connie Dedmon
- Title
- President
- Phone
- (704) 482-2033
National Provider Directory
Locations
1611 Northbrook III School Rd
Vale, NC 28168
Phone (704) 276-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL 055-004 | NC | Yes |
Addresses
Primary practice location
1611 Northbrook III School Rd
Vale, NC 28168-9636
Mailing address
601 Cherryville Rd
Shelby, NC 28150-3624
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801578 | Medicaid | NC |
Other providers in Vale, NC
- Ryan Phillip Hull
- Jennifer Michelle Isom
- Patrick L Jenkins
- Chelsea Elise Lynch
- Nicole Sykes Mullen
- Mari-Lynn Sain
- Amy Auten Smith
- Tas Drug West Lincoln, Inc.
- Trueway Services LLC
- Vale Medical Clinic
All providers in Vale, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.