NPIMap

Organization Active NPI

Wooded Acres #6

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Washington, NC
National Provider Identifier
1629205802
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
WOODED ACRES #6
Practice address
3636 Cherry Rd
Washington, NC 27889-7267
Phone
(252) 975-6634
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Jim Hardison
Title
Owner
Phone
(252) 946-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3636 Cherry Rd
Washington, NC 27889-7267

Mailing address

3706 Cherry Rd
Washington, NC 27889-7268

National Provider Directory

National Provider Directory
Tax ID family
Wooded Acres 67 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1629205802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 CHERRY RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 CHERRY RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897267",
            "telephone_number": "252-975-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODED ACRES #6",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-946-2324"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.