Organization Active NPI

Padroy Inc

  • Assisted Living Facility (Mental Illness)
  • Raleigh, NC
National Provider Identifier
1992263644
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
PADROY INC
Practice address
2917 Fairway Dr
Raleigh, NC 27603-3124
Phone
(919) 301-8525
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Mr. Ola Richard Oyegunwa
Title
Administrator
Phone
(919) 757-9694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2917 Fairway Dr
Raleigh, NC 27603-3124

Mailing address

6116 Paducah Dr
Raleigh, NC 27610-1166
Phone (919) 757-9694

Other names 1

  • Manor At Riverbrooke Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1992263644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 PADUCAH DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101166",
            "telephone_number": "919-757-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 FAIRWAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033124",
            "telephone_number": "919-301-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADROY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "OYEGUNWA",
        "authorized_official_first_name": "OLA",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-757-9694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor At Riverbrooke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

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