Wings of Life Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

3409312 Issued in NC

Legal business name

WINGS OF LIFE INC

Practice address

610 Spur Rd
Greensboro, NC 27406-8919

Phone

(336) 674-5995

Fax

(336) 674-0443

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sherri Lynn Shore-Perdue

Title

President

Phone

(336) 674-5995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1225223902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SPUR RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068919",
            "telephone_number": "336-674-5995",
            "fax_number": "336-674-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SPUR RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068919",
            "telephone_number": "336-674-5995",
            "fax_number": "336-674-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SHORE-PERDUE",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-674-5995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "3409312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409312",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iona Willett Windsor
• Rebecca Moser Windsor, PT
• Catherine Riley Wineburg, MSW
• Marjorie Wingate, RPH
• Lylan Crites Wingfield, M.S., NCC, LPC
• Kiara Winsor, FNP-BC
• Brittany Lee Winstead, PHARMD
• Monica Marie Winter Zier, PA-C
• Christopher A Winter, MD
• Kenneth Howe Winter, MD

• Developmentally Disabled Services Day Training Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.