R & D Wilson Home Care

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FCL-079-075 Issued in NC

Legal business name

R & D WILSON HOME CARE

Practice address

1325 E Stadium Dr
Eden, NC 27288-3811

Phone

(336) 635-4307

NPI assigned

Jun 24, 2009

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Danita Payne Wilson

Title

Administrator

Phone

(336) 635-4307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1073741435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E STADIUM DR",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272883811",
            "telephone_number": "336-635-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E STADIUM DR",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272883811",
            "telephone_number": "336-635-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & D WILSON HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DANITA",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-635-4307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-079-075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Eden, NC
• Providers in Eden, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.