Organization Active NPI

Windham Hall, Inc

  • Assisted Living Facility
  • Reidsville, NC
National Provider Identifier
1053468587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL031-006 Issued in NC
Legal business name
WINDHAM HALL, INC
Practice address
2135 S Scales St
Reidsville, NC 27320-6317
Phone
(336) 342-4112
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kristie McKinney
Title
Bookkeeper
Phone
(336) 342-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL031-006 NC Primary

Addresses

Primary practice location

2135 S Scales St
Reidsville, NC 27320-6317

Mailing address

2135 S Scales St
Reidsville, NC 27320-6317
Phone (336) 342-4112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053468587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273206317",
            "telephone_number": "336-342-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273206317",
            "telephone_number": "336-342-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM HALL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "336-342-4112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL031-006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, 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.

Verify at the official NPI Registry.