NPIMap

Organization Active NPI

Wooded Acres Guest Home Inc

Doing business as The Oak

  • Adult Mental Health Clinic/Center
  • Washington, NC
National Provider Identifier
1205000585
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MHL-007-067 Issued in NC
Legal business name
WOODED ACRES GUEST HOME INC
Doing business as
The Oak
Practice address
3622 Cherry Road
Washington, NC 27889-7268
Phone
(252) 946-7325
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. James E. HardisonNPI 1124314687
Title
Owner
Phone
(252) 946-2324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adult Mental Health Clinic/Center 261QM0850X MHL-007-067 NC Primary

Addresses

Primary practice location

3622 Cherry Road
Washington, NC 27889-7268

Mailing address

3622 Cherry Road
Washington, NC 27889-7268
Phone (252) 946-7325

Other names 1

  • The Oak Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wooded Acres 67 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1205000585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 CHERRY ROAD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268",
            "telephone_number": "252-946-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 CHERRY ROAD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268",
            "telephone_number": "252-946-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODED ACRES GUEST HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-946-2324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-007-067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.