BROADWAY MANOR LIMITED LIABILITY (NPI# 1740668755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740668755 |
| Entity Type | Organization |
| Organization Name | BROADWAY MANOR LIMITED LIABILITY |
| Other Organization Name | BROADWAY MANOR RESIDENTIAL CAREHOME |
| Practice Address |
446 N Broadway Street Greenville MS 38701-2552 |
| Mailing Address |
515 N Broadway St Greenville MS 38701-2552 |
| Practice Telephone | 6627025007 |
| Mailing Telephone | 6627025007 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MS. JMELBA H THOMPSON (DIRECTOR) |
| Authorized Official Telephone | 6627025007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1096 | MS | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Broadway Manor Residential CareHome | Other Name - Individual/Organization |
| Street Address |
446 N BROADWAY STREET |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38701-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
| 1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
| 1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
| 1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
| 1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
| 1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
| Find all providers in zip 38701 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680786 | Art Enterprise of Pitt Co. | Assisted Living Facility | 110 Pearl Dr, Greenville, NC 27834-8517 | 2016-02-24 |
| 1205249927 | Eastside Manor Inc. Dba Southern Oaks | Assisted Living Facility | 120 Roper Mountain Road Ext, Greenville, SC 29615-4823 | 2014-06-10 |
| 1710390810 | Gahcr II Greenville Alf Trs Sub, LLC | Assisted Living Facility | 605 S Dewey St, Greenville, IL 62246-2296 | 2014-06-05 |
| 1366764227 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1401 N Broadway St, Greenville, OH 45331-4300 | 2010-02-19 |
| 1184860918 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2105 W Arlington Blvd, Greenville, NC 27834-5744 | 2008-12-29 |
| 1093967218 | Cascades Nursing, LLC | Assisted Living Facility | 10 Fountainview Terrace, Greenville, SC 29607-4033 | 2008-10-21 |
| 1285821595 | Assisted Living Concepts Inc | Assisted Living Facility | 1275 Northview Drive, Greenville, OH 45331 | 2007-10-01 |
| 1093900425 | Emerald Glen Managment | Assisted Living Facility | 605 Dewey St, Greenville, IL 62246-2296 | 2007-09-10 |
| 1104946433 | Rosa Bradley Home for Adults | Assisted Living Facility | 2215 North Memorial Drive, Greenville, NC 27835 | 2007-03-30 |
| 1043337330 | Cortland Place Health Center, Inc | Assisted Living Facility | 20 Austin Avenue, Greenville, RI 02828 | 2007-03-23 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.