Alexandria Adelaide, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-079-004 Issued in NC

Legal business name

ALEXANDRIA ADELAIDE, INC.

Doing business as

Pine Forrest Home for the Aged

Practice address

312 Broad St
Reidsville, NC 27320-6506

Phone

(336) 342-4946

Fax

(336) 342-4799

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Alexandria Battle

Title

Owner

Phone

(336) 342-4946

Specialties & licenses 1

Addresses

Other names 1

• Pine Forrest Home for the Aged Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720145113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273230026",
            "telephone_number": "336-342-4946",
            "fax_number": "336-342-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BROAD ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273206506",
            "telephone_number": "336-342-4946",
            "fax_number": "336-342-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA ADELAIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-342-4946",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-079-004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Forrest Home for the Aged",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tina Lawson Allen, APRN
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• Assisted Living Facility in Reidsville, NC
• Providers in Reidsville, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.