WNC Madison County Housing Corp

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

WNC MADISON COUNTY HOUSING CORP

Doing business as

Madison County Group Home

Practice address

36 Mountain Heights Ave
Hot Springs, NC 28743

Phone

(828) 622-3332

NPI assigned

Jan 4, 2007

Last updated

Jun 27, 2011By 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

Barbara Wrenn

Title

Executive Director

Phone

(828) 622-3332

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Madison County Group Home Doing business as

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1972650612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "HOT SPRINGS",
            "state": "NC",
            "postal_code": "287430097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MOUNTAIN HEIGHTS AVE",
            "city": "HOT SPRINGS",
            "state": "NC",
            "postal_code": "28743",
            "telephone_number": "828-622-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNC MADISON COUNTY HOUSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "WRENN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-622-3332"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL057014",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409126",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803510",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison County Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hot Springs Health Program (Hot Springs Medical Center Pharmacy)
• Hot Springs Health Program, Inc. (Hot Springs Medical Center)
• Mintz Care Homes Inc.
• Breanne Nelson, LCSW-A
• Erica L Tenner, BCBA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hot Springs, NC
• Providers in Hot Springs, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.