Comfort Living of Woodland

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-066-019 Issued in NC

Legal business name

COMFORT LIVING OF WOODLAND

Practice address

615 W Main St
Woodland, NC 27897-9618

Phone

(252) 587-3333

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Janice Vaughan

Title

Administrator

Phone

(252) 642-4317

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1235514522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279100953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MAIN ST",
            "city": "WOODLAND",
            "state": "NC",
            "postal_code": "278979618",
            "telephone_number": "252-587-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT LIVING OF WOODLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-642-4317"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-066-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Michelle Bowser
• Carolina Residential Services, Inc
• Guided by Faith LLC
• Julie Warren Counseling
• Roanoke Chowan Community Health Center Inc (Woodland Primary Care)
• Solid Foundation Facilities Inc
• Julie Warren, LPC, LCAS, RN

• Adult Care Home Facility in Woodland, NC
• Providers in Woodland, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.