Woodlawn Haven, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL036006 Issued in NC

Legal business name

WOODLAWN HAVEN, INC

Practice address

301 Craig St
Mount Holly, NC 28120-1265

Phone

(704) 827-1573

Fax

(704) 827-5705

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Norma Jean Lester

Title

Administrator

Phone

(704) 827-1573

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972642049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CRAIG ST",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201265",
            "telephone_number": "704-827-1573",
            "fax_number": "704-827-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CRAIG ST",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201265",
            "telephone_number": "704-827-1573",
            "fax_number": "704-827-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HAVEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-827-1573"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL036006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801024",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Jernigan Williams, MS, CCC-SLP
• Hattie M Williams, LPCA
• Lyle Williams, LMFT
• Rose Mary Williams, PA
• Tina Wilson
• Dakota Bolme Woods
• Yellow Door Counseling & Consulting
• Waade Amy Zonen

• Assisted Living Facility in Mount Holly, NC
• Providers in Mount Holly, 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 Aug 22, 2020; 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.