WOODLAWN HAVEN, INC


Address: 301 Craig St, Mount Holly, NC 28120-1265
Phone: 7048271573

WOODLAWN HAVEN, INC (NPI# 1972642049) 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) 1972642049
Entity Type Organization
Organization Name WOODLAWN HAVEN, INC
Practice Address 301 Craig St
Mount Holly
NC 28120-1265
Practice Telephone 7048271573
Practice Fax Number 7048275705
Mailing Telephone 7048271573
Mailing Fax Number 7048275705
Enumeration Date 2007-02-06
Last Update Date 2020-08-22
Authorized Official Name NORMA JEAN LESTER (ADMINISTRATOR)
Authorized Official Telephone 7048271573
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility HAL036006 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 7801024 05

Office Location

Street Address 301 CRAIG ST
City MOUNT HOLLY
State NC
Zip Code 28120-1265

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1851775027 Wesley Marsh Dentist 176 Palomino Trl, Mt Holly, NC 28120 2015-07-16
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1427183979 Touched By Angels Home Healthcare, Inc. Home Health 16 Oak Grove St, Mt Holly, NC 28120 2007-02-23
1417052119 Andrew Rogers Oblinger Dentist 247 W Catawba Ave, Mt Holly, NC 28120 2006-09-14
1437648334 Moose Pharmacy of Mt Holly LLC Durable Medical Equipment & Medical Supplies 125 W Central Ave, Mount Holly, NC 28120 2018-05-07
1104898634 Michael Alson Smith Family Medicine 305 W Catawba Ave, Mount Holly, NC 28120 2006-02-07
1306455126 A Place 4 Me, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 2020-07-28
1487946380 Monica K Rendon Specialist 320 Langhorne Dr, Mt Holly, NC 28120-1452 2011-05-10
1033750674 Amanda Marie Antczak Counselor 129 Maggie Dr, Mount Holly, NC 28120-1486 2019-10-04
1235753781 Jessica Bailey Mcbee Specialist/Technologist 306 Adrian St, Mount Holly, NC 28120-1506 2020-06-01
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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1114562147 Taylor Care Group, LLC Assisted Living Facility 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 2019-11-13
1710528377 Grace Village Inc Assisted Living Facility 501 River Bend Dr., Granite Falls, NC 28630 2019-10-04
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1659928174 Coastal Pointe Senior Living LLC Assisted Living Facility 5220 Ocean Hwy W, Shallotte, NC 28470-4006 2019-08-20
1861046674 A1a-arc of Dunn, LLC Assisted Living Facility 217 Jonesboro Rd, Dunn, NC 28334-6240 2019-07-30
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Competitor

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City MOUNT HOLLY
Zip Code 28120

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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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