Wilkesboro Livig Center LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL097012 Issued in NC

Legal business name

WILKESBORO LIVIG CENTER LLC

Practice address

176 Resthome Rd
Wilkesboro, NC 28697-7145

Phone

(336) 973-3890

Fax

(336) 973-3042

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Martha H Wilson

Title

Office Manager

Phone

(828) 738-3053

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1992942973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 ZION HILL RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526304",
            "telephone_number": "828-738-3053",
            "fax_number": "828-738-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 RESTHOME RD",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977145",
            "telephone_number": "336-973-3890",
            "fax_number": "336-973-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKESBORO LIVIG CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-738-3053",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL097012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "HAL097012",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilkes Day Care Association Inc.
• Wilkes Family Pharmacy
• Wilkes Pharmacy Inc
• Wilkes Surgical Associates Inc PA
• Wilkesboro Clinical Lab LLC
• Holly Williams, FNP-C
• Luke Tyler John Wilson, DMD
• Kenneth Shane Wingler, DDS
• Wood Counseling Services

• Adult Care Home Facility in Wilkesboro, NC
• Providers in 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 Jan 13, 2009; 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.