ROSE VISTA ASSISTED LIVING, LLC
NPI 1477184653
Custodial Care Facility - Adult Care Home in Kinston, NC
About Rose Vista Assisted Living, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSE VISTA ASSISTED LIVING, LLC (NPI 1477184653) is a healthcare organization registered as an adult care home in Kinston, North Carolina and active in the NPI registry since January 2020. The organization lists Bradley David Brady, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rose Vista Assisted Living, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Rose Vista Assisted Living, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Rose Vista Assisted Living, LLC's NPI number?
The NPI number for Rose Vista Assisted Living, LLC is 1477184653. It was assigned to this organization in the NPPES registry on January 28, 2020.
Where is Rose Vista Assisted Living, LLC located?
Rose Vista Assisted Living, LLC is located at 2130 Rose Vista Rd, Kinston, NC 28504. The listed phone number is (828) 308-3533.
What is Rose Vista Assisted Living, LLC's specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
Is Rose Vista Assisted Living, LLC enrolled in Medicare?
Yes. Rose Vista Assisted Living, LLC is registered in the Medicare PECOS enrollment system.
When is Rose Vista Assisted Living, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Rose Vista Assisted Living, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Rose Vista Assisted Living, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Occupational Therapist in Private Practice (6), Qualified Speech Language Pathologist (5) and Physical Therapist in Private Practice (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rose Vista Assisted Living, LLC was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Rose Vista Assisted Living, Llc · NPI 1477184653
Adult Care Home organization in Kinston, North Carolina. Organization record, active in the CMS NPPES registry since January 28, 2020.
## Identity
- **NPI:** 1477184653 (Entity type: Organization)
- **Enumerated:** January 28, 2020
- **Primary specialty:** Custodial Care Facility - Adult Care Home · taxonomy 311ZA0620X
- **Organization subpart:** No
- **Authorized official:** Bradley Brady, MEMBER
## Practice location
- **Address:** 2130 ROSE VISTA RD, Kinston, NC 28504-8230
- **Phone:** (828) 308-3533
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Occupational Therapist in Private Practice (6), Qualified Speech Language Pathologist (5), Physical Therapist in Private Practice (3) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1477184653) · Data from the CMS NPPES public registry.