Organization Active NPI

Rolling Green Village

  • Assisted Living Facility
  • Greenville, SC
National Provider Identifier
1669070223
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROLLING GREEN VILLAGE
Practice address
1 Hoke Smith Blvd
Greenville, SC 29615
Phone
(864) 987-9800
Fax
(864) 297-0241
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Mrs. Valerie Brooks-Madden
Title
Board Chairwomen
Phone
(864) 987-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1 Hoke Smith Blvd
Greenville, SC 29615

Mailing address

1 Hoke Smith Blvd
Greenville, SC 29615
Phone (864) 987-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1669070223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOKE SMITH BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-987-9800",
            "fax_number": "864-297-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOKE SMITH BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-987-9800",
            "fax_number": "864-297-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING GREEN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "BROOKS-MADDEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BOARD CHAIRWOMEN",
        "authorized_official_telephone_number": "864-987-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

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