NPIMap

Organization Active NPI

Britthaven, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Kernersville, NC
National Provider Identifier
1861689291
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0256 Issued in NC
Legal business name
BRITTHAVEN, INC.
Practice address
728 Piney Grove Rd
Kernersville, NC 27284-2335
Phone
(336) 996-4038
Fax
(336) 996-0644
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Mr. Norwood Randolph Uzzell
Title
President
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0256 NC Primary

Addresses

Primary practice location

728 Piney Grove Rd
Kernersville, NC 27284-2335

Mailing address

728 Piney Grove Rd
Kernersville, NC 27284-2335
Phone (336) 996-4038

Other identifiers 1

IdentifierTypeStateIssuer
3406490MedicaidNC

Other names 1

  • BRITTHAVEN OF KERNERSVILLE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Britthaven of Tarboro46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1861689291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 PINEY GROVE RD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842335",
            "telephone_number": "336-996-4038",
            "fax_number": "336-996-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PINEY GROVE RD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842335",
            "telephone_number": "336-996-4038",
            "fax_number": "336-996-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTHAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "UZZELL",
        "authorized_official_first_name": "NORWOOD",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406490",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRITTHAVEN OF KERNERSVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.