NPIMap

Organization Active NPI

Wendy K. Bradsher Fuller Dba Falcon Crest Residential Care

  • Mental Illness Community Based Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1851739643
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-001-103 Issued in NC
Legal business name
WENDY K. BRADSHER FULLER DBA FALCON CREST RESIDENTIAL CARE
Practice address
3309A N NC Highway 49
Burlington, NC 27217
Phone
(336) 226-2575
Fax
(336) 226-2474
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Wendy Kay Bradsher
Title
Owner/Administrator Manager
Phone
(336) 226-2575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-001-103 NC
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-001-103 NC Primary

Addresses

Primary practice location

3309A N NC Highway 49
Burlington, NC 27217

Mailing address

1101 S Fifth St
PO Box 1670
Mebane, NC 27302-9182
Phone (336) 226-2575

Other identifiers 1

IdentifierTypeStateIssuer
6603415MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Falcon Crest Residential Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3309A N NC Highway 49
Burlington, NC 27217
Phone (336) 226-2575

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1851739643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S FIFTH ST",
            "address_2": "PO BOX 1670",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029182",
            "telephone_number": "336-226-2575",
            "fax_number": "336-226-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309A N NC HIGHWAY 49",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27217",
            "telephone_number": "336-226-2575",
            "fax_number": "336-226-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY K. BRADSHER FULLER DBA FALCON CREST RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "BRADSHER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR MANAGER",
        "authorized_official_telephone_number": "336-226-2575"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-001-103",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-001-103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603415",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.