WP-Clinton Health Holdings, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WP-CLINTON HEALTH HOLDINGS, LLC

Doing business as

The Magnolia

Practice address

213 Forest TRL
Clinton, NC 28328-3353

Phone

(910) 592-7506

Fax

(910) 592-7604

NPI assigned

Dec 28, 2012

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles E Trefzger

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 3

Addresses

Other names 1

• The Magnolia Doing business as

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1750627485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-322-5535",
            "fax_number": "828-326-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 FOREST TRL",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283353",
            "telephone_number": "910-592-7506",
            "fax_number": "910-592-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP-CLINTON HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-082-022",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Magnolia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Magnolia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Allen Wilson, MD
• Vande Wilson
• Danny E. Winn, PA-C
• Linda Kay Winner, FNP - BC
• Thomas J Woods, M.D.
• Ken T. Yang, MD
• Ernest D Younger, MDMPH
• Nicholas Victor Zugris, MD

• Adult Care Home Facility in Clinton, NC
• Providers in Clinton, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.