WP-Wendell Health Holdings, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WP-WENDELL HEALTH HOLDINGS, LLC

Doing business as

Oliver House

Practice address

4230 Wendell Blvd
Wendell, NC 27591-8412

Phone

(919) 366-9737

Fax

(919) 365-3394

NPI assigned

Dec 28, 2012

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

• Oliver House 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": "1633910400000",
    "number": "1831435569",
    "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": "4230 WENDELL BLVD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275918412",
            "telephone_number": "919-366-9737",
            "fax_number": "919-365-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP-WENDELL HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "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-092-182",
            "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": "Oliver House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oliver House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wildflower ABA LLC
• Williams Independent Home Care LLC
• Andre Williams
• Reyna Forbes Wilson, COTA/L
• Kayla Marie Wolanzyk, MS, RD, LDN
• Rodney Wrice
• Merlin W Young, DDS

• Adult Care Home Facility in Wendell, NC
• Providers in Wendell, 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 Oct 11, 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.