Organization Active NPI

Wos, Inc.

Doing business as Alexandria place

  • Adult Care Home Facility
  • Gastonia, NC
National Provider Identifier
1710125620
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
NH0547 Issued in NC
Legal business name
WOS, INC.
Doing business as
Alexandria place
Practice address
1770 Oak Hollow Rd
Gastonia, NC 28054-1749
Phone
(704) 853-8175
Fax
(704) 842-4045
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Mrs. Kimberly Fowler
Title
Administrator
Phone
(704) 853-8175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NH0547 NC
Adult Care Home Facility 311ZA0620X NH0547 NC Primary

Addresses

Primary practice location

1770 Oak Hollow Rd
Gastonia, NC 28054-1749

Mailing address

1770 Oak Hollow Rd
Gastonia, NC 28054-1749
Phone (704) 853-8175

Other identifiers 1

IdentifierTypeStateIssuer
7802123MedicaidNC

Other names 1

  • Alexandria place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alexandria Place2 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": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1710125620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 OAK HOLLOW RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541749",
            "telephone_number": "704-853-8175",
            "fax_number": "704-842-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 OAK HOLLOW RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541749",
            "telephone_number": "704-853-8175",
            "fax_number": "704-842-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-853-8175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0547",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "NH0547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802123",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexandria place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.