Organization Active NPI

Woodard's Adult Day Health Center, LLC

  • Adult Day Care Clinic/Center
  • Shallotte, NC
National Provider Identifier
1235600230
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WOODARD'S ADULT DAY HEALTH CENTER, LLC
Practice address
115 Holden Beach Rd SW
Shallotte, NC 28470-1787
Phone
(910) 754-9409
Fax
(910) 754-9419
NPI assigned
Dec 17, 2018
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Ms. Sharon Woodard Crawford
Title
Program Director
Phone
(910) 754-9409

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
In Home Supportive Care Agency 253Z00000X
Adult Day Care Clinic/Center 261QA0600X Primary
Health Service Clinic/Center 261QH0100X
Durable Medical Equipment & Medical Supplies 332B00000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Respite Care 385H00000X

Addresses

Primary practice location

115 Holden Beach Rd SW
Shallotte, NC 28470-1787

Mailing address

115 Holden Beach Rd SW
Shallotte, NC 28470-1787
Phone (910) 754-9409

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1235600230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HOLDEN BEACH RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701787",
            "telephone_number": "910-754-9409",
            "fax_number": "910-754-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HOLDEN BEACH RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701787",
            "telephone_number": "910-754-9409",
            "fax_number": "910-754-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODARD'S ADULT DAY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "WOODARD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-754-9409",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.