Wilkes Traditional Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HHL-097-010 Issued in NC

Legal business name

WILKES TRADITIONAL LIVING

Practice address

206 Old Brickyard Road
North Wilkesboro, NC 28659-1227

Phone

(336) 667-2211

Fax

(336) 667-8199

NPI assigned

Oct 11, 2006

Last updated

Jul 21, 2022By 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

Ms. Kendra Trivette

Title

Administrator

Phone

(336) 667-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083703029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "address_2": "206 OLD BRICKYARD ROAD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591227",
            "telephone_number": "336-667-2211",
            "fax_number": "336-667-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 OLD BRICKYARD ROAD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591227",
            "telephone_number": "336-667-2211",
            "fax_number": "336-667-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES TRADITIONAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRIVETTE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-667-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HHL-097-010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilkes Physician Network, Inc. (Northwest Carolina Women's Center)
• Wilkes Physician Network, Inc. (Rock Creek Family Medicine and Urgent Care)
• Wilkes Physician Network, Inc.,
• Wilkes Recovery Revolution, Inc.
• Wilkes Regional Physicians, Inc. (Wilkes Surgical Specialists)
• Wilkes Vocational Services, Inc.
• Wilkesboro Amy Kinlaw PLLC (Kinlaw & Absher Dentistry for Kids)
• Wilkesboro Assisted Living Center, LLC
• Wilkesboro Health and Rehabilitation, LLC
• Gavin Clay Willens, PT, DPT, CSCS

• Assisted Living Facility in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.