Garrison Manor, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL 033-008 Issued in NC

Legal business name

GARRISON MANOR, LLC

Practice address

1414 Springfield Rd
Rocky Mount, NC 27801-3723

Phone

(252) 360-9806

Fax

(252) 210-2967

NPI assigned

Feb 14, 2013

Last updated

Feb 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Markita GarrisonNPI 1013301118

Title

Administrator

Phone

(252) 360-9806

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Markita Garrison

  • Assisted Living Facility
  • Rocky Mount, NC
  • NPI 1013301118
  Authorized official Same address or phone

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1790024529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 SPRINGFIELD RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278013723",
            "telephone_number": "252-360-9806",
            "fax_number": "252-210-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SPRINGFIELD RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278013723",
            "telephone_number": "252-360-9806",
            "fax_number": "252-210-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "MARKITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-360-9806"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL 033-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulkit Gandhi, M.D.
• Roopali Goyal Gandhi, MD
• Ganglani Rocky Mount PLLC (Belton and Schrimper)
• David Garrett
• Edwina B. Garrett, M.A.
• Markita Garrison
• Steven William Garzone, DC, NP-C, FNP
• Paul J Gaskins, DDS
• Carey Wooten Gaynor Jr., RPH
• GCP Medical PLLC

• Adult Care Home Facility in Rocky Mount, NC
• Providers in Rocky Mount, 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 Feb 14, 2013; 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.