NPIMap

Organization Active NPI

Watlington Family Care

  • Assisted Living Facility (Mental Illness)
  • Greensboro, NC
National Provider Identifier
1205976347
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
MHL-041-775 Issued in NC
Legal business name
WATLINGTON FAMILY CARE
Practice address
1401 Sherrod Watlington Cir
Greensboro, NC 27406-9463
Phone
(336) 254-9662
Fax
(336) 292-3465
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mr. Romulus Thurman Watlington, QP
Title
Owner
Phone
(336) 254-9662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X MHL-041-775 NC Primary

Addresses

Primary practice location

1401 Sherrod Watlington Cir
Greensboro, NC 27406-9463

Mailing address

1401 Sherrod Watlington Cir
Greensboro, NC 27406-9463
Phone (336) 254-9662

Other identifiers 3

IdentifierTypeStateIssuer
7805686MedicaidNC
7802911MedicaidNC
7801734MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Watlington Family Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1205976347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SHERROD WATLINGTON CIR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069463",
            "telephone_number": "336-254-9662",
            "fax_number": "336-292-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SHERROD WATLINGTON CIR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069463",
            "telephone_number": "336-254-9662",
            "fax_number": "336-292-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATLINGTON FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WATLINGTON",
        "authorized_official_first_name": "ROMULUS",
        "authorized_official_middle_name": "THURMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-254-9662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-041-775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805686",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802911",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801734",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.