NPIMap

Organization Active NPI

Wilson County Residential Services

  • Lodging Provider
  • Wilson, NC
National Provider Identifier
1871612978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
WILSON COUNTY RESIDENTIAL SERVICES
Practice address
702 Selma St SW
Wilson
Wilson, NC 27893-4886
Phone
(252) 237-3317
Fax
(252) 206-1681
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gale Purvis
Title
Executive
Phone
(252) 237-4778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 177F00000X Primary

Addresses

Primary practice location

702 Selma St SW
Wilson
Wilson, NC 27893-4886

Mailing address

115 B West Hines St
Wilson, NC 27893-3924
Phone (252) 237-4778

Other identifiers 1

IdentifierTypeStateIssuer
WG000149OtherNCIPRS

National Provider Directory

National Provider Directory
Tax ID family
Wilson County Residential Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871612978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 B WEST HINES ST",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933924",
            "telephone_number": "252-237-4778",
            "fax_number": "252-206-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SELMA ST SW",
            "address_2": "WILSON",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934886",
            "telephone_number": "252-237-3317",
            "fax_number": "252-206-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNTY RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "252-237-4778"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IPRS",
            "identifier": "WG000149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.