West Winds Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-078-086 Issued in NC

Legal business name

WEST WINDS ASSISTED LIVING

Practice address

1241 Goins Rd
Pembroke, NC 28372-8347

Phone

(910) 521-0853

Fax

(910) 521-5755

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Jacobs

Title

Owner

Phone

(910) 442-5660

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1538440086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3458",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283723458",
            "telephone_number": "910-521-0853",
            "fax_number": "910-521-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 GOINS RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728347",
            "telephone_number": "910-521-0853",
            "fax_number": "910-521-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WINDS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-442-5660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-078-086",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "FCL-078-086",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-078-086",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-078-086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danny L West, MD
• James Earl West, MD
• Elainia Snaza White, MSW
• Keziah White
• Timothy Edward White II, A.T.C., L.A.T.

• Assisted Living Facility in Pembroke, NC
• Providers in Pembroke, 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 Jul 12, 2022; 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.