Kingsbridge House, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL088002 Issued in NC

Legal business name

KINGSBRIDGE HOUSE, LLC

Practice address

10 Sugarloaf Rd
Brevard, NC 28712-8424

Phone

(828) 884-6137

Fax

(828) 883-4625

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Tina A Hallman

Title

Controller

Phone

(828) 324-8898

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487640504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUGARLOAF RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128424",
            "telephone_number": "828-884-6137",
            "fax_number": "828-883-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUGARLOAF RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128424",
            "telephone_number": "828-884-6137",
            "fax_number": "828-883-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBRIDGE HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "828-324-8898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL088002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803702",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kelley
• James Stephen Kelling, MD
• Lisa D Kent, ED.S.
• Gerald T Kilpatrick, MD
• Thomas Seung Kim, DPT
• Brandi Duncan Kitchen, PHARMD
• Kerry Leigh Klemm-Betts, OTR
• Leanne M Kline
• Trent Kline
• Debbie Klingender, PH.D.

• Assisted Living Facility in Brevard, NC
• Providers in Brevard, NC by specialty
• Assisted Living 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.