Organization Active NPI

Golden Rule Youth and Family Services

  • In Home Supportive Care Agency
  • Wilmington, NC
National Provider Identifier
1720219967
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN RULE YOUTH AND FAMILY SERVICES
Practice address
4602 Split Rail Dr
Wilmington, NC 28412-5203
Phone
(910) 392-6533
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Mr. Willie Ray Fennell Jr.
Title
Co-Director
Phone
(910) 392-6533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4602 Split Rail Dr
Wilmington, NC 28412-5203

Mailing address

4602 Split Rail Dr
Wilmington, NC 28412-5203
Phone (910) 392-6533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1720219967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 SPLIT RAIL DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284125203",
            "telephone_number": "910-392-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 SPLIT RAIL DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284125203",
            "telephone_number": "910-392-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RULE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "910-392-6533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.