Organization Active NPI

Wessel'S Nursing Home of Matthews

  • Nursing Facility/Intermediate Care Facility
  • Matthews, NC
National Provider Identifier
1508018409
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0060 Issued in NC
Legal business name
WESSEL'S NURSING HOME OF MATTHEWS
Practice address
600 Fullwood Rd
Matthews, NC 28105-2659
Phone
(704) 841-4920
Fax
(704) 841-4700
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Mrs. Linda J Howard
Title
President
Phone
(704) 841-4920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0060 NC Primary

Addresses

Primary practice location

600 Fullwood Rd
Matthews, NC 28105-2659

Mailing address

600 Fullwood Rd
Matthews, NC 28105-2659
Phone (704) 841-4920

Other identifiers 1

IdentifierTypeStateIssuer
3416593MedicaidNC

Other names 1

  • Carrington Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carrington Place2 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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1508018409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FULLWOOD RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052659",
            "telephone_number": "704-841-4920",
            "fax_number": "704-841-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FULLWOOD RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052659",
            "telephone_number": "704-841-4920",
            "fax_number": "704-841-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESSEL'S NURSING HOME OF MATTHEWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-841-4920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416593",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrington Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.