Broadway Nursing Services

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

BROADWAY NURSING SERVICES

Practice address

342 S Salisbury St
Mocksville, NC 27028-2526

Phone

(336) 940-7664

Fax

(336) 940-7664

NPI assigned

Jun 7, 2019

Last updated

Jun 12, 2019By 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

Angela Morris Broadway, RNNPI 1972076354

Title

Administrator/Owner

Phone

(336) 940-7664

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.

• Angela Morris Broadway, REGISTERED NURSE

  • Registered Nurse
  • Mocksville, NC
  • NPI 1972076354

  Home Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1831758408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 S SALISBURY ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282526",
            "telephone_number": "336-940-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S SALISBURY ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282526",
            "telephone_number": "336-940-7664",
            "fax_number": "336-940-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "BROADWAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "336-940-7664",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Marie Bowman
• Jocelyn Bradburn
• Danielle Renee Bratton, B.S. BCABA
• Bright Light Care LLC
• Bright Light Care LLC
• Angela Morris Broadway, REGISTERED NURSE
• Annie V. Brown, MA
• Cheyenne Brown
• Leigh Michelle Bryant, OT/R
• BT Heart and Vascular Center, PLLC (The Heart and Vascular Center)

• Home Health Registered Nurse in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Home Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.