KIMBERLY HOUSE
NPI 1952512295
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Raleigh, NC

Active since May 25, 2007
6420 MALIBU DR, RALEIGH, NC 27603(919) 772-9382(919) 772-9382 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly House NPPES

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

KIMBERLY HOUSE (NPI 1952512295) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Raleigh, North Carolina and active in the NPI registry since May 2007. The organization lists Cordelia Akagha, Director, as its authorized official.

NPPES Registry Identity

NPI1952512295
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameBRADLEY HOME CARING FOR WAKE COMMUNITY AND CAROLINAS
Location Address6420 MALIBU DRRaleigh, NC 27603-4908
Mailing AddressPo Box 2055Garner, NC 27529-2055 · (919) 772-9382 · Fax (919) 772-9382
Fax(919) 772-9382
Organization SubpartNo
Authorized OfficialCordelia AkaghaDirector · (919) 772-9382
Enumeration DateMay 25, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1952512295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in NC · MHL-092-412
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
6420 MALIBU DR, Raleigh, NC 27603

Other Names 1

Doing Business AsKimberly House

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 Bradley Home Caring For Wake Community And Carolinas's NPI number?

The NPI number for Bradley Home Caring For Wake Community And Carolinas is 1952512295. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is doing business as Kimberly House.

Where is Bradley Home Caring For Wake Community And Carolinas located?

Bradley Home Caring For Wake Community And Carolinas is located at 6420 Malibu Dr, Raleigh, NC 27603. The listed phone number is (919) 772-9382.

What is Bradley Home Caring For Wake Community And Carolinas's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Bradley Home Caring For Wake Community And Carolinas 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.