Wintergreen Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-059-028 Issued in NC

Legal business name

WINTERGREEN ASSISTED LIVING INC

Practice address

323 Fleming Ave
Marion, NC 28752-3751

Phone

(828) 652-3033

Fax

(828) 659-8649

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda Gail Isaacs

Title

Owner

Phone

(828) 652-3033

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710057161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287520027",
            "telephone_number": "828-652-3033",
            "fax_number": "828-659-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 FLEMING AVE",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523751",
            "telephone_number": "828-652-3033",
            "fax_number": "828-659-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERGREEN ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-652-3033",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-059-028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Nicole Wheeler, PA-C, SA-C, MSOTR/L
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• Gevony Laughlin Williams, DDS
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• Amber Shea Wise, CADC-I
• Cristen Delaney Wisor, LCSW
• WNC People Helping People, LLC
• Ashlyn Wolfe, M.S., CCC-SLP

• Assisted Living Facility in Marion, NC
• Providers in Marion, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.