Woodard Retirement Village

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

HAL0096009 Issued in NC

Legal business name

WOODARD RETIREMENT VILLAGE

Practice address

1019 Royall Ave
Goldsboro, NC 27534-2500

Phone

(919) 734-2889

Fax

(919) 734-7995

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jean Woodard Jones

Title

Administrator

Phone

(919) 734-2889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1760659338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 ROYALL AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342500",
            "telephone_number": "919-734-2889",
            "fax_number": "919-734-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 ROYALL AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342500",
            "telephone_number": "919-734-2889",
            "fax_number": "919-734-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODARD RETIREMENT VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "WOODARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-734-2889",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "HAL0096009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Weber Wolf, RD, LDN
• Dana Womac
• Richard Wong, MD
• Jaclyn Farrior Woodall, PT, DPT
• Woodard Care, Inc.
• Sydney Woodford, OTR/L
• Shaunita Woods, CCC-SLP
• Anthony Joel Woolet, O.D.
• Lindsey Wooten, AGNP
• Sherrine Denise Wooten

• Exclusive Provider Organization in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.