Organization Active NPI

SW Management Group Inc

  • Skilled Nursing Facility
  • Fayetteville, NC
National Provider Identifier
1003890880
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0577 Issued in NC
Legal business name
SW MANAGEMENT GROUP INC
Practice address
400 Pelt Dr
Fayetteville, NC 28301-3412
Phone
(910) 822-0515
Fax
(910) 822-0535
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James A Schmidlin
Title
President/Owner
Phone
(910) 822-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0577 NC Primary

Addresses

Primary practice location

400 Pelt Dr
Fayetteville, NC 28301-3412

Mailing address

400 Pelt Dr
Fayetteville, NC 28301-3412
Phone (910) 822-0515

Other identifiers 4

IdentifierTypeStateIssuer
7804169MedicaidNC
00879OtherNCBLUE CROSS BLUE SHIELD
3415481MedicaidNC
341611RMedicaidNC

Other names 1

  • WOODLANDS NURSING AND REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1003890880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PELT DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013412",
            "telephone_number": "910-822-0515",
            "fax_number": "910-822-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PELT DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013412",
            "telephone_number": "910-822-0515",
            "fax_number": "910-822-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW MANAGEMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "SCHMIDLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "910-822-0515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804169",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00879",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415481",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341611R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODLANDS NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.