Organization Active NPI

Wilkinson Care Center, Inc.

Doing business as Elderberry Health Care

  • Assisted Living Facility
  • Marshall, NC
National Provider Identifier
1578687232
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
NH0479 Issued in NC
Legal business name
WILKINSON CARE CENTER, INC.
Doing business as
Elderberry Health Care
Practice address
415 Elderberry LN
Marshall, NC 28753-6369
Phone
(828) 252-1790
Fax
(828) 649-9348
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Edward Eller
Title
Controller
Phone
(336) 998-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NH0479 NC Primary

Addresses

Primary practice location

415 Elderberry LN
Marshall, NC 28753-6369

Mailing address

PO Box 1678
Clemmons, NC 27012-1678
Phone (336) 998-5001

Other identifiers 1

IdentifierTypeStateIssuer
7801442MedicaidNC

Other names 1

  • Elderberry Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilkinson Care Center Inc2 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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1578687232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270121678",
            "telephone_number": "336-998-5001",
            "fax_number": "336-998-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ELDERBERRY LN",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536369",
            "telephone_number": "828-252-1790",
            "fax_number": "828-649-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "336-998-5001"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801442",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderberry Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.