Organization Active NPI

Thursher Goodman Winstead Carehome

  • Developmentally Disabled Services Day Training Agency
  • Roxboro, NC
National Provider Identifier
1982751368
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL-073-043 Issued in NC
Legal business name
THURSHER GOODMAN WINSTEAD CAREHOME
Practice address
1579 Semora Rd
Roxboro, NC 27574-8525
Phone
(336) 597-5490
Fax
(336) 597-5490
NPI assigned
Jan 5, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mrs. Thursher Goodman Winstead, PARAPROFESSIONAL
Title
Provider
Phone
(336) 597-5490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL-073-043 NC Primary

Addresses

Primary practice location

1579 Semora Rd
Roxboro, NC 27574-8525

Mailing address

1579 Semora Rd
Roxboro, NC 27574-8525
Phone (336) 597-5490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1982751368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 SEMORA RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748525",
            "telephone_number": "336-597-5490",
            "fax_number": "336-597-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 SEMORA RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748525",
            "telephone_number": "336-597-5490",
            "fax_number": "336-597-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURSHER GOODMAN WINSTEAD CAREHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WINSTEAD",
        "authorized_official_first_name": "THURSHER",
        "authorized_official_middle_name": "GOODMAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "336-597-5490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PARAPROFESSIONAL"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-073-043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.