Wallace Gardens Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL 031 016 Issued in NC

Legal business name

WALLACE GARDENS INC

Practice address

1052 NE Railroad St
Wallace, NC 28466-0544

Phone

(910) 521-5550

NPI assigned

Aug 14, 2007

Last updated

Jun 11, 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

Mrs. Edith W Bigler

Title

President

Phone

(910) 521-5550

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1902098981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721179",
            "telephone_number": "910-521-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 NE RAILROAD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284660544",
            "telephone_number": "910-521-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE GARDENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BIGLER",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-521-5550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 031 016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805861",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urgent Care of Wallace, PLLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1352)
• Walgreen Co. (Walgreens #10088)
• Kayla Sholar Walker, FNP
• Wallace Drug Co Inc
• Wallace Opco, LLC (Day Springs of Wallace)
• Wallace Urgent Care LLC
• Charles Edward Walton II, PA
• Samuel H Weatherford, PA-C
• Roxie C Wells, M.D.

• Assisted Living Facility in Wallace, NC
• Providers in Wallace, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.