Windsor House One, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

HAL-008-022 Issued in NC

Legal business name

WINDSOR HOUSE ONE, LLC

Doing business as

Windsor House

Practice address

336 Rhodes Ave
Windsor, NC 27983-9611

Phone

(252) 794-9333

NPI assigned

Jul 19, 2007

Last updated

Jan 20, 2008By 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

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windsor House Doing business as

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200787200000",
    "number": "1841490653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 8TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013312",
            "telephone_number": "828-322-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 RHODES AVE",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839611",
            "telephone_number": "252-794-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HOUSE ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-01-20",
        "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",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NC",
            "license": "HAL-008-022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805927",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Peter Beck Woglom, PA-C

• Alzheimer Center (Dementia Center) in Windsor, NC
• Providers in Windsor, NC by specialty
• Alzheimer Center (Dementia Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.