Senora H. Woodard

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-092-231 Issued in NC

Legal business name

SENORA H. WOODARD

Practice address

1709 Atkins Rd
Fuquay Varina, NC 27526-4162

Phone

(919) 639-6893

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Senora H WoodardNPI 1912053893

Title

Owner

Phone

(919) 639-6893

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Senora Woodard

  • Mental Illness Community Based Residential Treatment Facility
  • Fuquay Varina, NC
  • NPI 1912053893
  NPD Authorized official

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1083049217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 ATKINS RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264162",
            "telephone_number": "919-639-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 ATKINS RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264162",
            "telephone_number": "919-639-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENORA H. WOODARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "SENORA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-639-6893"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-092-231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Sedivy
• Kristen N Seidel, PA-C
• Emily Kathleen Peterson Selfe, OTR/L
• Senior in-Home Counseling LLC
• Rashaud Senior, MD
• Senters Holdings
• Senters Holdings LLC
• Senters Holdings, LLC
• Preeya Tushar Shah, MD
• Lauryn Shepard

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.