Woodlawn Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-091-003 Issued in NC

Legal business name

WOODLAWN RETIREMENT HOME

Practice address

2171 Ruin Creek Rd
Henderson, NC 27537-8735

Phone

(252) 492-0066

NPI assigned

Jul 5, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

SENIOR CITIZENS HOME INCAs reported in NPPES

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

Authorized official

Name

Mr. Herman Davis III

Title

Administrator

Phone

(252) 492-0066

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Woodlawn Retirement Home

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Senior Citizens Home Inc

  • Skilled Nursing Facility
  • Henderson, NC
  • NPI 1740278126
  NPPES parent name

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1043241748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275378732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275378735",
            "telephone_number": "252-492-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN RETIREMENT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR CITIZENS HOME INC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-492-0066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-091-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801463",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shurondia C Williams, BS, MSW, LCSW-A
• Wilson S Hoyle Jr DDS PA
• Caroline G Wilson
• Women Operating Wisdom
• Women, Children & Family Counseling Services PLLC
• William S Wooten, DDS
• Woven Wellbeing PLLC (Woven Wellbeing)
• Feebie K Wright-Pauling, BSW, MSW, LCSWA
• McKayla Wright
• SH'Maughn Wright, MA, NCC, LCMHC

• Assisted Living Facility in Henderson, NC
• Providers in Henderson, NC by specialty
• Assisted Living Facility in North Carolina

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