Organization Active NPI

Wayne County Assisted Living Facility

  • Assisted Living Facility
  • Waynesboro, TN
National Provider Identifier
1952547770
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ACL0000000227 Issued in TN
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.