William E Vaughn

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-096-028 Issued in NC

Practice address

105 Neil St
Goldsboro, NC 27530-1525

Phone

(919) 394-8130

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elijah Home Care

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1184389140
  NPD Authorized official
• The Vaughn Fam-Home

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1922761972
  NPD Authorized official

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1447411939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEIL ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301525",
            "telephone_number": "919-394-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEIL ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301525",
            "telephone_number": "919-394-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-096-028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Vannoske
• Mary Anita Vannoske
• Eddie Vargas
• Samuel John Vaselich, DO
• Wally Glendale Vaughn Jr., M.A. CCC-SLP
• Susan Vermette, OTR/L
• Karen Vernon, NP-C
• Vibrant Moves OT LLC
• Chrishaunda Lakeish Vick, FNP-C
• Joshua Reid Vick, DO

• Mental Illness Community Based Residential Treatment Facility in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Mental Illness 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 Oct 27, 2021; 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.