Bradford Village Of Kernersville West, Llc

LBN: Bradford Village Of Kernersville West, Llc
Bradford Village Of Kernersville West, Llc is an health care organization with primary practice located at 602 Piney Grove Rd , Kernersville NC 27284-2333. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Bradford Village Of Kernersville West, Llc can be contacted via phone (336) 993-8711, or through Mcmanus, Ronald F via phone (704) 996-7443.

Contact Information

Primary practice address
602 Piney Grove Rd Kernersville NC 27284-2333
Phone: (336) 993-8711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmanus, Ronald F
Phone: (704) 996-7443

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-034-069 North Carolina

Profile Details

NPI number 1336224021
LBN Legal business name Bradford Village Of Kernersville West, Llc
DBA Doing business as
Authorized official Mcmanus, Ronald F
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336224021 NPPES
North Carolina MEDICAID 7804974

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