Wilson Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL098024 Issued in NC

Legal business name

WILSON ASSISTED LIVING

Practice address

3501 Senior Village LN NW
Wilson, NC 27896-9618

Phone

(252) 243-3186

Fax

(252) 243-3187

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Beth C Burrell

Title

Partner

Phone

(803) 230-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Melton

  • Physical Therapy Assistant
  • Wilson, NC
  • NPI 1437520582
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1285770933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278940188",
            "telephone_number": "252-243-3186",
            "fax_number": "252-243-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SENIOR VILLAGE LN NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278969618",
            "telephone_number": "252-243-3186",
            "fax_number": "252-243-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-230-1555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL098024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805531",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willie N Dixon
• Marilee Reynolds Williford, DDS
• Wilmed Generations,Inc.
• Wilmed Imaging Services LLC
• Wilmed Medical Center Inc.
• Wilson Cardiology Associates, PA
• Wilson Community Family Practice
• Wilson Count Residential Services, Inc
• Wilson County Alternative School
• Wilson County Department of Social Services

• Assisted Living Facility in Wilson, NC
• Providers in Wilson, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; 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.