Emerald Cove Assisted Living, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

EMERALD COVE ASSISTED LIVING, LLC

Practice address

2060 W 5TH St
Greenville, NC 27834-9160

Phone

(252) 522-5783

NPI assigned

Dec 3, 2021

Organization subpart

No

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

Authorized official

Name

Bradley D Brady

Title

Owner

Phone

(828) 308-3533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1508524869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 ROSE VISTA RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048230",
            "telephone_number": "252-522-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W 5TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349160",
            "telephone_number": "252-522-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COVE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-308-3533"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Elmore, CRT
• Elohim Counseling and Resource Center
• Elohim Counseling and Resource Center
• Tarig Ahmed Beraima Elraiyah, MD
• Jennifer Beth Emberger, M.D.
• Emmanuel Residential Facility Inc
• David Alan Emmerling, EDD, LPC
• Amanda Emory, MS, PT
• Empowering and Quieting Minds Psychotherapy PLLC
• Enc Management Services LLC

• Adult Care Home Facility in Greenville, NC
• Providers in Greenville, 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 Dec 3, 2021; 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.