Rosa Bradley's Home for Adults,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-074-035 Issued in NC

Legal business name

ROSA BRADLEY'S HOME FOR ADULTS,LLC

Practice address

2215 North Memorial Drive
Greenville, NC 27834-5026

Phone

(252) 752-3237

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Reginald Keith Sherard, MD

Title

Owner

Phone

(252) 752-3237

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1902083801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278350819",
            "telephone_number": "252-752-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NORTH MEMORIAL DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345026",
            "telephone_number": "252-752-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA BRADLEY'S HOME FOR ADULTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SHERARD",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-752-3237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-074-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonelle Carla Rhosheda Romero, DMD
• Ronald McDonald House Charities of Eastern North Carolina Inc
• Morgan Haley Roque
• Ryan Roque, DO
• Rosa Bradley Home for Adults
• Jeanne Carol Rosal, OTR/L
• Benjamin Jacob Rose, PT, DPT
• Jessica Snodgrass Rose, M.D.
• John D Rose, MD
• Meagan Elizabeth Rose

• Assisted Living Facility in Greenville, NC
• Providers in Greenville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.