The Meadows of Wilmington Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL065022 Issued in NC

Legal business name

THE MEADOWS OF WILMINGTON INC

Practice address

4200 Jasmine Cove Way
Wilmington, NC 28412-2099

Phone

(910) 395-5220

Fax

(910) 395-8218

NPI assigned

Dec 20, 2006

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

Mr. Ron Burrell

Title

Ceo

Phone

(252) 525-1995

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467516070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 JASMINE COVE WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122099",
            "telephone_number": "910-395-5220",
            "fax_number": "910-395-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JASMINE COVE WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122099",
            "telephone_number": "910-395-5220",
            "fax_number": "910-395-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEADOWS OF WILMINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-525-1995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL065022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804596",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Launch Pad, Inc
• The Launch Pad, Inc.
• The Lawson's House
• The Lawson's House-Wilmington
• The Marsh Autism Services LLC
• The Mental Health Association in North Carolina, Inc (Southeastern ACTT)
• The Mental Health Association in North Carolina, Inc (Southeastern ACTT)
• The Mental Health Association in North Carolina, Inc (New Hanover PSR)
• The Mental Health Association in North Carolina, Inc. (Southeastern ACTT)
• The Milky Mermaid, LLC

• Assisted Living Facility in Wilmington, NC
• Providers in Wilmington, 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 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.