NPIMap

Organization Active NPI

Wooded Acres Guest Home Inc.

  • Psychiatric Residential Treatment Facility
  • Washington, NC
National Provider Identifier
1023569522
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
MHL-007-083 Issued in NC
Legal business name
WOODED ACRES GUEST HOME INC.
Practice address
3706 Cherry Rd
Washington, NC 27889-7268
Phone
(252) 946-2324
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Wendy Jones
Title
Adminsitrator
Phone
(252) 946-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X MHL-007-083 NC Primary

Addresses

Primary practice location

3706 Cherry Rd
Washington, NC 27889-7268

Mailing address

3598 Cherry Road
Washington, NC 27889

National Provider Directory

National Provider Directory
Tax ID family
Wooded Acres 67 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1023569522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3598 CHERRY ROAD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 CHERRY RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268",
            "telephone_number": "252-946-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODED ACRES GUEST HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "252-946-2324"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "MHL-007-083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.