Organization Active NPI

Adult Enrichment Services of Wilkes

  • Adult Day Care Clinic/Center
  • North Wilkesboro, NC
National Provider Identifier
1245489681
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ADULT ENRICHMENT SERVICES OF WILKES
Practice address
1915 W Park Dr
Suite 200
North Wilkesboro, NC 28659-3511
Phone
(336) 667-2541
Fax
(336) 667-2551
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Jennifer Snider
Title
Executive Director
Phone
(336) 667-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1915 W Park Dr
Suite 200
North Wilkesboro, NC 28659-3511

Mailing address

PO Box 984
Suite 200
North Wilkesboro, NC 28659-0984

Other names 1

  • The Ruby Pardue Blackburn Adult Day Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1915 W Park Dr
Ste 200
North Wilkesboro, NC 28659
Phone (336) 667-2541

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1245489681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "address_2": "SUITE 200",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286590984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR",
            "address_2": "SUITE 200",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593511",
            "telephone_number": "336-667-2541",
            "fax_number": "336-667-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT ENRICHMENT SERVICES OF WILKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-667-2541"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ruby Pardue Blackburn Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.