Organization Active NPI

Wellington House

  • Assisted Living Facility
  • Gastonia, NC
National Provider Identifier
1013903145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL036020 Issued in NC
Legal business name
WELLINGTON HOUSE
Practice address
850 Majestic CT
Gastonia, NC 28054-5131
Phone
(704) 864-7739
Fax
(704) 853-2109
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tina A Hallman
Title
Controller
Phone
(828) 324-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL036020 NC Primary

Addresses

Primary practice location

850 Majestic CT
Gastonia, NC 28054-5131

Mailing address

850 Majestic CT
Gastonia, NC 28054-5131
Phone (704) 864-7739

Other identifiers 1

IdentifierTypeStateIssuer
7804940MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013903145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MAJESTIC CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545131",
            "telephone_number": "704-864-7739",
            "fax_number": "704-853-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAJESTIC CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545131",
            "telephone_number": "704-864-7739",
            "fax_number": "704-853-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "828-324-8898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL036020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804940",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.