NPIMap

Organization Active NPI

Woodmere Center

  • Adult Care Home Facility
  • Greensboro, NC
National Provider Identifier
1750594560
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
WOODMERE CENTER
Practice address
1706 Rayston Dr
Greensboro, NC 27405-5243
Phone
(336) 275-7328
Fax
(336) 272-6359
NPI assigned
May 8, 2007
Last updated
Jul 12, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
LIGGINS FAMILY CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Ms. Glenda T Liggins
Title
Owner
Phone
(336) 275-7328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

1706 Rayston Dr
Greensboro, NC 27405-5243

Mailing address

1706 Rayston Dr
Greensboro, NC 27405-5243
Phone (336) 275-7328

Other identifiers 1

IdentifierTypeStateIssuer
FCL-041-071MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Liggins Family Care Kernersville Center7 organizations share this tax ID, including this one
Part of
Liggins Family Care Kernersville Center

Other organizations with this tax ID 6

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1750594560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 RAYSTON DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055243",
            "telephone_number": "336-275-7328",
            "fax_number": "336-272-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 RAYSTON DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055243",
            "telephone_number": "336-275-7328",
            "fax_number": "336-272-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMERE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGGINS FAMILY CARE INC",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "LIGGINS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-275-7328",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FCL-041-071",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.