Active NPI
Wellington House
- Assisted Living Facility
- Gastonia, NC
National Provider Identifier
1013903145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL036020
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804940 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.