Wooded Acres Guest Home #1

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL007053 Issued in NC

Legal business name

WOODED ACRES GUEST HOME #1

Practice address

3706 Cherry Rd
Washington, NC 27889-7268

Phone

(252) 946-6245

Fax

(252) 946-6245

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James E Hardison Jr.

Title

Owner

Phone

(252) 946-6245

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wooded Acres 15 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Wooded Acres #1

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Washington, NC
  • NPI 1447433479
  NPD tax ID
• Wooded Acres #3

  • Mental Illness Community Based Residential Treatment Facility
  • Washington, NC
  • NPI 1609087303
  NPD tax ID
• Wooded Acres #4

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Washington, NC
  • NPI 1437350048
  NPD tax ID
• Wooded Acres Guest Home #2

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Washington, NC
  • NPI 1629279237
  NPD tax ID

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275744963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 CHERRY RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268",
            "telephone_number": "252-946-6245",
            "fax_number": "252-946-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 CHERRY RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268",
            "telephone_number": "252-946-6245",
            "fax_number": "252-946-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODED ACRES GUEST HOME #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-946-6245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL007053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801354",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wooded Acres #1
• Wooded Acres #3
• Wooded Acres #4
• Wooded Acres #5
• Wooded Acres #6
• Wooded Acres Guest Home #2
• Wooded Acres Guest Home Inc
• Wooded Acres Guest Home Inc
• Wooded Acres Guest Home Inc
• Wooded Acres Guest Home Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington, NC
• Providers in Washington, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 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.