Stellam Williamson

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FCL-001-063 Issued in NC

Legal business name

STELLAM WILLIAMSON

Doing business as

LM & S Adult Care # 2

Practice address

426 N Main St
Burlington, NC 27217-3908

Phone

(336) 227-0742

Fax

(336) 227-0742

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Stella B Williamson

Title

Administrator

Phone

(336) 227-0742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LM & S Adult Care # 2 Doing business as

Tax ID family

Ashley Family Care Home2 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.

• Stella Williamson

  dba Ashley Family Care Home

  • Custodial Care Facility
  • Burlington, NC
  • NPI 1669591285
  NPD tax ID

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1790804417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST STE 315",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735343",
            "telephone_number": "336-599-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N MAIN ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173908",
            "telephone_number": "336-227-0742",
            "fax_number": "336-227-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAM WILLIAMSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-227-0742",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LM & S Adult Care # 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Stefan
• David Alan Stein, M.D.
• Rosemary F Stein, MD
• Amanda Marie Steiner, PA-C
• Stella Williamson (Ashley Family Care Home)
• Rhonda F Stephens
• Sarah Elizabeth Stephens, MD
• Tomeka Hatfield Stephens, CERTIFIED HAIR LOSS
• Ashley Renee Stepp, NP
• Shaleta Lanet Stevenson, LCSW, LCAS

• Custodial Care Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.