Organization Active NPI

Stella Williamson

  • Custodial Care Facility
  • Burlington, NC
National Provider Identifier
1669591285
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
FCL-001-083 Issued in NC
Legal business name
STELLA WILLIAMSON
Doing business as
Ashley Family Care Home
Practice address
220 Hall Ave
Burlington, NC 27217-2312
Phone
(336) 229-6839
Fax
(336) 229-6839
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Ms. Stella B. Williamson
Title
Administrator
Phone
(336) 229-6839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X FCL-001-083 NC Primary

Addresses

Primary practice location

220 Hall Ave
Burlington, NC 27217-2312

Mailing address

203 N Main St Ste 315
Roxboro, NC 27573-5343
Phone (336) 599-0375

Other identifiers 1

IdentifierTypeStateIssuer
7805387MedicaidNC

Other names 1

  • Ashley Family Care Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ashley Family Care Home2 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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1669591285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST STE 315",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735343",
            "telephone_number": "336-599-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HALL AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172312",
            "telephone_number": "336-229-6839",
            "fax_number": "336-229-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA WILLIAMSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-229-6839",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805387",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.