NPIMap

Organization Active NPI

Wooded Acres Guest Home Inc

  • Adult Care Home Facility
  • Washington, NC
National Provider Identifier
1053457523
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
MHL-007-056 Issued in NC
Legal business name
WOODED ACRES GUEST HOME INC
Practice address
3650 Cherry Road
Washington, NC 27889-7268
Phone
(252) 946-1838
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. James E Hardison
Title
Owner
Phone
(252) 946-6245

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MHL-007-056 NC Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-007-056 NC

Addresses

Primary practice location

3650 Cherry Road
Washington, NC 27889-7268

Mailing address

3650 Cherry Road
Washington, NC 27889-7268
Phone (252) 946-1838

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1053457523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 CHERRY ROAD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268",
            "telephone_number": "252-946-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 CHERRY ROAD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268",
            "telephone_number": "252-946-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODED ACRES GUEST HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-946-6245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-007-056",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-007-056",
            "primary": false
        }
    ],
    "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 Jul 15, 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.