Organization Active NPI

Viola Ventures, LLC

Doing business as Hertford Manor

  • Adult Care Home Facility
  • Hertford, NC
National Provider Identifier
1477279792
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
VIOLA VENTURES, LLC
Doing business as
Hertford Manor
Practice address
464 Two Mile Desert Rd
Hertford, NC 27944-8686
Phone
(252) 404-0248
Fax
(252) 404-0245
NPI assigned
Oct 18, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Brittany Nwankwo
Title
Ceo
Phone
(919) 532-9707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

464 Two Mile Desert Rd
Hertford, NC 27944-8686

Mailing address

464 Two Mile Desert Rd
Hertford, NC 27944-8686
Phone (252) 404-0248

Other names 1

  • Hertford Manor Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL FAX Other
Other URL fax Viola Ventures, LLC

National Provider Directory

National Provider Directory
Tax ID family
Viola Ventures LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1477279792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 TWO MILE DESERT RD",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279448686",
            "telephone_number": "252-404-0248",
            "fax_number": "252-404-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 TWO MILE DESERT RD",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279448686",
            "telephone_number": "252-404-0248",
            "fax_number": "252-404-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLA VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-532-9707"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FAX",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FAX",
            "address_1": "464 Two Mile Desert Rd",
            "city": "Hertford",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279448686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "Y",
            "affiliationName": "Viola Ventures, LLC",
            "address_1": "464 Two Mile Desert Rd",
            "city": "Hertford",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279448686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hertford Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hertford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.