WOODED ACRES GUEST HOME INC


Address: 3622 Cherry Road, Washington, NC 27889-7268
Phone: 2529467325

WOODED ACRES GUEST HOME INC (NPI# 1205000585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205000585
Entity Type Organization
Organization Name WOODED ACRES GUEST HOME INC
Other Organization Name THE OAK
Practice Address 3622 Cherry Road
Washington
NC 27889-7268
Practice Telephone 2529467325
Mailing Telephone 2529467325
Enumeration Date 2008-04-17
Last Update Date 2008-07-15
Authorized Official Name MR. JAMES E. HARDISON (OWNER)
Authorized Official Telephone 2529462324
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
MHL-007-067 NC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Oak Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053457523 Wooded Acres Guest Home Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3650 Cherry Road, Washington, NC 27889-7268 2007-01-30
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

Office Location

Street Address 3622 CHERRY ROAD
City WASHINGTON
State NC
Zip Code 27889-7268

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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
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City WASHINGTON
Zip Code 27889

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Dataset Information

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.

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