Active NPI
Wayne County Assisted Living Facility
- Assisted Living Facility
- Waynesboro, TN
National Provider Identifier
1952547770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ACL0000000227
- Legal business name
- WAYNE COUNTY ASSISTED LIVING FACILITY
- Practice address
- 210 Fairlane Dr
Waynesboro, TN 38485-2419 - Phone
- (931) 722-2000
- NPI assigned
- Dec 29, 2008
- Last updated
- Dec 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Staggs
- Title
- Administrator
- Phone
- (931) 722-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ACL0000000227 | TN | Primary |
Addresses
Primary practice location
210 Fairlane Dr
Waynesboro, TN 38485-2419
Mailing address
210 Fairlane Dr
Waynesboro, TN 38485-2419
Phone (931) 722-2000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230508800000",
"number": "1952547770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 FAIRLANE DR",
"city": "WAYNESBORO",
"state": "TN",
"postal_code": "384852419",
"telephone_number": "931-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 FAIRLANE DR",
"city": "WAYNESBORO",
"state": "TN",
"postal_code": "384852419",
"telephone_number": "931-722-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE COUNTY ASSISTED LIVING FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A",
"authorized_official_last_name": "STAGGS",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "931-722-2000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TN",
"license": "ACL0000000227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.