Watauga Opportunities, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

MHL- 095-029 Issued in NC

Legal business name

WATAUGA OPPORTUNITIES, INC

Practice address

642 Greenway Rd
Boone, NC 28607-4812

Phone

(828) 264-5008

Fax

(828) 264-5006

NPI assigned

Oct 6, 2006

Last updated

Sep 13, 2007By 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

Mr. F. Michael Maybee

Title

President / Ceo

Phone

(828) 264-5008

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1629165022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2330",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286072330",
            "telephone_number": "828-264-5008",
            "fax_number": "828-264-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 GREENWAY RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074812",
            "telephone_number": "828-264-5008",
            "fax_number": "828-264-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA OPPORTUNITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "MAYBEE",
        "authorized_official_first_name": "F.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "828-264-5008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL- 095-029",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL- 095-020",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-095-021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408916",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802227",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802228",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Knox Weaver, PHARMD
• Mark Weiner, AUD

• Developmentally Disabled Services Day Training Agency in Boone, NC
• Providers in Boone, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.