Wingo Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-018-029 Issued in NC

Legal business name

WINGO FAMILY CARE HOME

Doing business as

Sarah's Place

Practice address

5400 Bucks Garage Rd
Maiden, NC 28650-9023

Phone

(980) 241-3237

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By 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

Mrs. Amanda Kaye Wingo

Title

Owner/Administrator

Phone

(980) 241-3237

Specialties & licenses 1

Addresses

Other names 1

• Sarah's Place Doing business as

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1568649093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BUCKS GARAGE RD",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286509023",
            "telephone_number": "980-241-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BUCKS GARAGE RD",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286509023",
            "telephone_number": "980-241-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGO FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "WINGO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "980-241-3237",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-018-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Maiden, NC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.