Active NPI
Romulus Thurman Watlington
- Adult Care Home Facility
- Greensboro, NC
National Provider Identifier
1063618643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL-041-026
- Practice address
- 1801 Britton St
Greensboro, NC 27406-3132 - Phone
- (336) 254-9662
- Fax
- (336) 275-4481
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL-041-026 | NC | Primary |
Addresses
Primary practice location
1801 Britton St
Greensboro, NC 27406-3132
Mailing address
1801 Britton St
Greensboro, NC 27406-3132
Phone (336) 254-9662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801734 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FCL-041-026 | NC | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1063618643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 BRITTON ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063132",
"telephone_number": "336-254-9662",
"fax_number": "336-275-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 BRITTON ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063132",
"telephone_number": "336-254-9662",
"fax_number": "336-275-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATLINGTON",
"first_name": "ROMULUS",
"middle_name": "THURMAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "FCL-041-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7801734",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.