Wilkesboro Assisted Living Center, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WILKESBORO ASSISTED LIVING CENTER, LLC

Practice address

206 Old Brickyard Rd
North Wilkesboro, NC 28659-8971

Phone

(336) 667-2020

Fax

(336) 667-5357

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Christopher John Sprenger

Title

Manager

Phone

(919) 608-9123

Specialties & licenses 1

Addresses

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": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1982242681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 AIRPORT RD STE 7-104",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287046402",
            "telephone_number": "919-608-9123",
            "fax_number": "919-882-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 OLD BRICKYARD RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598971",
            "telephone_number": "336-667-2020",
            "fax_number": "336-667-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKESBORO ASSISTED LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "SPRENGER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-608-9123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilkes Recovery Revolution, Inc.
• Wilkes Regional Physicians, Inc.
• Wilkes Traditional Living
• Wilkes Vocational Services, Inc.
• Wilkesboro Amy Kinlaw PLLC
• Wilkesboro Health and Rehabilitation, LLC
• Gavin Clay Willens, PT, DPT, CSCS
• Sherri L Williams, D.O.
• Lauralee Wilson, MD
• Faith Wooten, COTA/L

• Adult Care Home Facility in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.