NPIMap

Organization Active NPI

Wooded Acres Guest Home Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Washington, NC
National Provider Identifier
1841682143
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
FCL-007-021 Issued in NC
Legal business name
WOODED ACRES GUEST HOME INC
Practice address
3130 Market Street Ext
Washington, NC 27889-8127
Phone
(252) 946-2324
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Wendy JonesNPI 1568853505
Title
General Operations Manager
Phone
(252) 946-2324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X FCL-007-021 NC Primary

Addresses

Primary practice location

3130 Market Street Ext
Washington, NC 27889-8127

Mailing address

3706 Cherry Rd
Washington, NC 27889-7268

National Provider Directory

National Provider Directory
Tax ID family
Wooded Acres 67 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1841682143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 CHERRY RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 MARKET STREET EXT",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278898127",
            "telephone_number": "252-946-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODED ACRES GUEST HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "GENERAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "252-946-2324"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "FCL-007-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.