Wilkes Day Care Association Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

9755060 Issued in NC

Legal business name

WILKES DAY CARE ASSOCIATION INC.

Doing business as

Wilkes Developmental Day School

Practice address

1021 Welborn Ave
Wilkesboro, NC 28697-2223

Phone

(336) 838-3119

Fax

(336) 667-6731

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patsy Reavis

Title

Executive Director

Phone

(336) 838-3119

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wilkes Developmental Day School Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275678567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286970545",
            "telephone_number": "336-838-3119",
            "fax_number": "336-667-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 WELBORN AVE",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972223",
            "telephone_number": "336-838-3119",
            "fax_number": "336-667-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES DAY CARE ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REAVIS",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-838-3119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "9755060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300083K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300083",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkes Developmental Day School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wilkes County DSS
• Wilkes County Health Department
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• Wilkesboro Clinical Lab LLC
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• Developmentally Disabled Services Day Training Agency in Wilkesboro, NC
• Providers in Wilkesboro, 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 Aug 22, 2020; 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.