Active NPI
SW Management Group Inc
- Skilled Nursing Facility
- Fayetteville, NC
National Provider Identifier
1003890880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0577
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804169 | Medicaid | NC | |
| 00879 | Other | NC | BLUE CROSS BLUE SHIELD |
| 3415481 | Medicaid | NC | |
| 341611R | Medicaid | NC |
Other names 1
- WOODLANDS NURSING AND REHABILITATION CENTER
National Provider Directory
National Provider DirectoryNPI 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.