Whipple's Group Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-060-1040 Issued in NC

Legal business name

WHIPPLE'S GROUP HOME, INC.

Practice address

3134 Periwinkle CT
Charlotte, NC 28269-3077

Phone

(704) 598-5051

Fax

(866) 861-2334

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Wanda Yvette Whipple, RN

Title

Owner/Director

Phone

(704) 575-1749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1023298494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 PERIWINKLE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693077",
            "telephone_number": "704-598-5051",
            "fax_number": "866-861-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 PERIWINKLE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693077",
            "telephone_number": "704-598-5051",
            "fax_number": "866-861-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIPPLE'S GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "704-575-1749",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-060-1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christie M Whisenant, LCAS, LCMHC
• Charlene Denyse Whitaker-Brown, FNP
• Dominicka Whitaker, LCAS
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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.