Organization Active NPI

Marion E. Wall

  • Adult Day Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1114106077
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MARION E. WALL
Doing business as
Cape Fear Adult Day Health Care Center
Practice address
920 Stamper Rd
Fayetteville, NC 28303-4138
Phone
(910) 323-4424
Fax
(910) 323-3622
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Marion Elizabeth Wall
Title
Director/Owner
Phone
(910) 323-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

920 Stamper Rd
Fayetteville, NC 28303-4138

Mailing address

920 Stamper Rd
Fayetteville, NC 28303-4138
Phone (910) 323-4424

Other identifiers 1

IdentifierTypeStateIssuer
3408729MedicaidNC

Other names 1

  • Cape Fear Adult Day Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

920 Stamper Rd
Fayetteville, NC 28303
Phone (910) 323-4424

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1114106077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 STAMPER RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034138",
            "telephone_number": "910-323-4424",
            "fax_number": "910-323-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STAMPER RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034138",
            "telephone_number": "910-323-4424",
            "fax_number": "910-323-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION E. WALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-323-4424"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408729",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

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

Verify at the official NPI Registry.