Wynnes Adult Care Facility Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

52001001 Issued in VA

Legal business name

WYNNES ADULT CARE FACILITY INC

Practice address

1565 Cottontown Rd
Lynchburg, VA 24503-4957

Phone

(434) 385-5815

Fax

(434) 385-4347

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harold Dwayne Wynne, LPN ADMINISTRATOR

Title

Administrator Owner

Phone

(434) 385-5815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1619078268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 COTTONTOWN RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245034957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 COTTONTOWN RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245034957",
            "telephone_number": "434-385-5815",
            "fax_number": "434-385-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNES ADULT CARE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "434-385-5815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "52001001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda Paige Wyckoff, PA-C
• Ruth E Wymer, CCC-SLP
• Wyndhurst Counseling Center, LLC
• Wyndhurst Family Medicine, P.C.
• Wyndhurst SNF Operations LLC (Summit Health and Rehab Center)
• Patrick J Wynnyk, M.D.
• Christina Metaxia Yanakis
• Brenda Markham Yarber, RN, BSN, CNNP
• Melinda Marie Meritt Yarborough, PA-C
• Kevin Yates, PHARMD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.