Rocky Mount Assisted Living and Memory Care, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ROCKY MOUNT ASSISTED LIVING AND MEMORY CARE, LLC

Practice address

891 Noell LN
Rocky Mount, NC 27804-1742

Phone

(252) 210-3751

Fax

(252) 231-1461

NPI assigned

Jun 7, 2023

Organization subpart

No

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

(828) 308-3533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1992499305",
    "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": "ROCKY MOUNT ASSISTED LIVING AND MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "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": "828-308-3533"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisa O Roberts, MD
• Thomas J Robertson Jr., M.D.
• Eboni' Nicole Robinson
• Kimberly Alexis Robinson, MSW
• Mary Robinson
• Rocky Mount Audiology PLLC
• Rocky Mount Chiropractic, PLLC
• Rocky Mount Drugs
• Rocky Mount Drugs Inc
• Rocky Mount Drugs Inc

• Adult Care Home Facility in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.