Wilson Family Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL062004 Issued in NC

Legal business name

WILSON FAMILY CARE

Practice address

221 Center St
221 Center St
Star, NC 27356-0602

Phone

(910) 428-4675

Fax

(910) 428-1518

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Tom W Crowder

Title

Owner

Phone

(910) 428-4675

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Crowder Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Crowder Family Care

  • Assisted Living Facility
  • Star, NC
  • NPI 1114046778
  NPD tax ID

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326166455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CENTER STT",
            "city": "STAR",
            "state": "NC",
            "postal_code": "273560602",
            "telephone_number": "910-428-4675",
            "fax_number": "910-428-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CENTER ST",
            "address_2": "221 CENTER ST",
            "city": "STAR",
            "state": "NC",
            "postal_code": "273560602",
            "telephone_number": "910-428-4675",
            "fax_number": "910-428-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-428-4675"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL062004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801987",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robeson Health Care Corporation
• Starmont Assisted Living
• Therapeutic Alternatives Incorporated
• Therapeutic Alternatives, Inc.
• Johanna Vazquez-Rodriguez

• All providers in Star, NC
• Assisted Living 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.