W I N G S Community Support & Recovery Services

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES

Practice address

401 N Miles St # B101
Elizabethtown, KY 42701-1834

Phone

(270) 572-4132

NPI assigned

Oct 5, 2020

Last updated

Feb 5, 2021By 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

Mrs. Sperlisha Victoria AyeniNPI 1750979746

Title

Chief Operations Officer

Phone

(270) 572-4132

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sperlisha Victoria Ayeni

  • Peer Specialist
  • Elizabethtown, KY
  • NPI 1750979746
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1881291672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 SONORA RD",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427489663",
            "telephone_number": "270-572-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MILES ST # B101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011834",
            "telephone_number": "270-572-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "SPERLISHA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "270-572-4132",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Dawn Vittitow
• Kaydience Voiselle
• Louann Vonallmen
• Harrison Vong, D.M.D.
• Kayla Vornberger
• Lakishia Waddell, TCSW
• Theresa Waddell, MA, MS, CADC, MFTA
• Cornelia Wade, NP
• Hailey Wagner, OTR
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0709)

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.