WOODED ACRES GUEST HOME INC (NPI# 1053457523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053457523 |
| Entity Type | Organization |
| Organization Name | WOODED ACRES GUEST HOME INC |
| Practice Address |
3650 Cherry Road Washington NC 27889-7268 |
| Practice Telephone | 2529461838 |
| Mailing Telephone | 2529461838 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | MR. JAMES E HARDISON (OWNER) |
| Authorized Official Telephone | 2529466245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-007-056 | NC | Residential Treatment Facilities |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-007-056 | NC | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205000585 | Wooded Acres Guest Home Inc | Clinic/Center | 3622 Cherry Road, Washington, NC 27889-7268 | 2008-04-17 |
| 1841682143 | Wooded Acres Guest Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3130 Market Street Ext, Washington, NC 27889-8127 | 2015-02-23 |
| Street Address |
3650 CHERRY ROAD |
| City | WASHINGTON |
| State | NC |
| Zip Code | 27889-7268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786326 | Coastal Solutions LLC | Counselor | 51 Hwy 33 W, Chocowinity, NC 27889 | 2019-12-09 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| 1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
| 1790175917 | Inner Coastal Orthotics and Prosthetics | Orthotist | 1102 North Brown St., Washington, NC 27889 | 2015-01-26 |
| 1972847390 | Country Living Guest Home #7 | Community/Behavioral Health | 207 W 11th St, Washington, NC 27889 | 2012-11-26 |
| 1104182005 | Country Living Guest Home #8 | Community/Behavioral Health | 618 Plant St, Washington, NC 27889 | 2012-04-04 |
| 1881986537 | Mary Lewis Scarbraugh | Social Worker | 408 E. 11th St., Washington, NC 27889 | 2011-05-12 |
| 1952615825 | Country Living Guest Home #6 | Community/Behavioral Health | 252 Dan Taylor Rd, Washington, NC 27889 | 2010-08-03 |
| 1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
| Find all providers in zip 27889 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826755 | Credible Home Health, LLC | Custodial Care Facility | 413 37th Pl Se, Apt 202, Washington, DC 20019-3216 | 2020-06-18 |
| 1396103891 | Stoddard Adult Day Care Center LLC | Custodial Care Facility | 2112 Varnum St Ne, Washington, DC 20018-3320 | 2016-01-29 |
| 1700241296 | Inspire Residential Services | Custodial Care Facility | 118 Turnage Dr, Washington, NC 27889-6038 | 2015-12-28 |
| 1275916892 | Cilvic Health Care, Inc | Custodial Care Facility | 1619 28th Pl Se, Washington, DC 20020-3809 | 2015-07-01 |
| 1639587736 | Sumdac, LLC | Custodial Care Facility | 1220 Pamlico St, Washington, NC 27889-3821 | 2014-08-01 |
| 1407280076 | Alcofa Senior Housing, Inc | Custodial Care Facility | 1717 Pennsylvania Ave Nw, Suite 1025, Washington, DC 20006 | 2013-08-30 |
| 1699116715 | Shawnelle Leola Best | Custodial Care Facility | 1440 Cedar St Se Apt 301, Washington, DC 20020-5016 | 2013-07-17 |
| 1952668873 | Kbc Nursing Agency and Home Health Care | Custodial Care Facility | 3213 Dubois Pl Se, Apt 2, Washington, DC 20019-2447 | 2012-04-16 |
| 1841576303 | First Metropolitan Community Services, Inc | Custodial Care Facility | 504 Aspen St Nw, Washington, DC 20012-2740 | 2011-10-28 |
| 1326289182 | Royal Homes | Custodial Care Facility | 6210 N Capitol St Nw, Washington, DC 20011-1416 | 2009-03-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 27889 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.