Organization Active NPI

Hunter Hill Assisted Living LLC

  • Adult Care Home Facility
  • Rocky Mount, NC
National Provider Identifier
1861182271
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HUNTER HILL ASSISTED LIVING LLC
Practice address
891 Noell LN
Rocky Mount, NC 27804-1742
Phone
(252) 210-3751
Fax
(252) 231-1461
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Bradley David Brady
Title
Owner
Phone
(919) 596-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

891 Noell LN
Rocky Mount, NC 27804-1742

Mailing address

891 Noell LN
Rocky Mount, NC 27804-1742
Phone (252) 210-3751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220201002301 NC Part B Supplier - Clinic/Group Practice 2062814106 Receives reassigned benefits from 13 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Durham, NC; Kinston, NC; Rocky Mount, NC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Elevation Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1861182271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 NOELL LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041742",
            "telephone_number": "252-210-3751",
            "fax_number": "252-231-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 NOELL LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041742",
            "telephone_number": "252-210-3751",
            "fax_number": "252-231-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTER HILL ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-596-9464"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.