BRADFORD VILLAGE OF KERNERSVILLE WEST, LLC
NPI 1336224021
Assisted Living Facility in Kernersville, NC

Q: What is Bradford Village Of Kernersville West, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since October 25, 2006

602 PINEY GROVE RD, KERNERSVILLE, NC 27284(336) 993-8711 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bradford Village Of Kernersville West, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADFORD VILLAGE OF KERNERSVILLE WEST, LLC (NPI 1336224021) is a healthcare organization registered as an assisted living facility in Kernersville, North Carolina and active in the NPI registry since October 2006. The organization lists Ronald F Mcmanus, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1336224021

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBRADFORD VILLAGE OF KERNERSVILLE WEST, LLC

Location Address602 PINEY GROVE RDKernersville, NC 27284-2333

Mailing AddressPo Box 1487Kernersville, NC 27285-1487 · (336) 595-1075

Phone(336) 993-8711

Organization SubpartNo

Authorized OfficialRonald F McmanusManaging Member · (704) 996-7443

Enumeration DateOctober 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1336224021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in NC · HAL-034-069

Definition

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.

602 PINEY GROVE RD, Kernersville, NC 27284

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Other Identifiers 1

Medicaid7804974NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradford Village Of Kernersville West, LLC's NPI number?

The NPI number for Bradford Village Of Kernersville West, LLC is 1336224021. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Bradford Village Of Kernersville West, LLC located?

Bradford Village Of Kernersville West, LLC is located at 602 Piney Grove Rd, Kernersville, NC 27284. The listed phone number is (336) 993-8711.

What is Bradford Village Of Kernersville West, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Bradford Village Of Kernersville West, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.