Williamston Operating Al, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WILLIAMSTON OPERATING AL, LLC

Practice address

160 Santree Dr
Williamston, NC 27892-1466

Phone

(252) 792-6969

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Charles E Trefzger Jr.

Title

Authorized Official

Phone

(828) 261-7312

Specialties & licenses 1

Addresses

Other names 1

• Williamston House Doing business as

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1942539192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SANTREE DR",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921466",
            "telephone_number": "252-792-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSTON OPERATING AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "828-261-7312",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamston House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Williamston Hospital Corporation
• Williamston Hospital Corporation
• Williamston House
• Williamston Medical PLLC
• Williamston Nursing Facility Operations Company, LLC
• D'Asya Wilson
• Demetrice Wilson, LCAS-A
• Jessica R. Woolard, FNP-C
• Cara Jane Workman, RRT/NPS RCP
• WP-Williamston Health Holdings, LLC

• Assisted Living Facility in Williamston, NC
• Providers in Williamston, 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 Dec 17, 2009; 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.