Organization Active NPI

Viola Ventures, LLC

  • Assisted Living Facility
  • Pantego, NC
National Provider Identifier
1891410296
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VIOLA VENTURES, LLC
Practice address
143 Swamp Rd
Pantego, NC 27860-9412
Phone
(252) 935-0075
Fax
(252) 935-0257
NPI assigned
Oct 7, 2022
Organization subpart
Yes
Parent organization
VIOLA VENTURES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Brittany S Nwankwo
Title
Ceo
Phone
(919) 532-9707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

143 Swamp Rd
Pantego, NC 27860-9412

Mailing address

143 Swamp Rd
Pantego, NC 27860-9412
Phone (252) 402-5317

Other names 1

  • PANTEGO REST HOME Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL FAX Viola Ventures, LLC

National Provider Directory

National Provider Directory
Tax ID family
Hertford Manor6 organizations share this tax ID, including this one
Part of
Hertford Manor

Other organizations with this tax ID 5

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

Locations

143 Swamp Rd
Pantego, NC 27860
Phone (252) 935-0075

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1891410296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SWAMP RD",
            "city": "PANTEGO",
            "state": "NC",
            "postal_code": "278609412",
            "telephone_number": "252-402-5317",
            "fax_number": "252-833-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SWAMP RD",
            "city": "PANTEGO",
            "state": "NC",
            "postal_code": "278609412",
            "telephone_number": "252-935-0075",
            "fax_number": "252-935-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLA VENTURES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIOLA VENTURES, LLC",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-532-9707"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FAX",
            "affiliation": "Y",
            "affiliationName": "Viola Ventures, LLC",
            "address_1": "143 Swamp Rd",
            "city": "Pantego",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278609412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PANTEGO REST HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PANTEGO REST HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pantego, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.