WP-Jacksonville Health Holdings, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WP-JACKSONVILLE HEALTH HOLDINGS, LLC

Doing business as

ONSLOW HOUSE

Practice address

34 McDaniel Dr
Jacksonville, NC 28546-6942

Phone

(910) 347-1300

Fax

(910) 347-1349

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Charles E Trefzger

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 3

Addresses

Other names 1

• ONSLOW HOUSE Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1629401203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-261-7304",
            "fax_number": "828-326-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MCDANIEL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466942",
            "telephone_number": "910-347-1300",
            "fax_number": "910-347-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP-JACKSONVILLE HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-067-023",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONSLOW HOUSE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ONSLOW HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridgette E Woodcock, LPN
• Morgan Fisher Woodruff
• Korianna Woods Stevens
• Heidi Worth, M.D.
• Cynthia Wortham, BCBA
• Kathleen M Wrenn, RPH
• Dawn Y Wright, LPC
• Hadassah Wright
• Keith C. Wright Sr., ICADC, CSAC, ADC-II
• Kerri Elizabeth Wright, OTR/L

• Adult Care Home Facility in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.