WOODARDS ADULT DAY HEALTH COMMUNITY NPI 1902545965

NPI Information

NPI: 1902545965
Provider Name: WOODARDS ADULT DAY HEALTH COMMUNITY

Doing Business As: WOODARDS ADULT DAY HEALTH COMMUNITY

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
115 HOLDEN BEACH RD SW
SHALLOTTE, NC
ZIP 28470
Phone: (910) 754-9409
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WOODARDS ADULT DAY HEALTH COMMUNITY is an adult day care clinic center in Shallotte, NC. WOODARDS ADULT DAY HEALTH COMMUNITY NPI is 1902545965. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodards Adult Day Health Community.

The provider's business location address is:

115 HOLDEN BEACH RD SW
SHALLOTTE, NC
ZIP 28470-787
Phone: (910) 754-9409
Fax: (910) 754-9419

The provider's authorized official is Sharon Woodard Crawford .
The authorized official title is Administrator and has the following contact phone number (910) 393-9409.

The enumeration date for this NPI number is 5/28/2022 and was last updated on 3/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	174200000X	Meals		No
2	251C00000X	Day Training, Developmentally Disabled Services		No
3	251S00000X	Community/Behavioral Health		No
4	251V00000X	Voluntary or Charitable		No
5	253Z00000X	In Home Supportive Care		No
6	261QD1600X	Clinic/Center	Developmental Disabilities	No
7	261QM0850X	Clinic/Center	Adult Mental Health	No
8	261QV0200X	Clinic/Center	VA	No
9	343900000X	Non-emergency Medical Transport (VAN)		No
10	347B00000X	Bus		No
11	347C00000X	Private Vehicle		No
12	385H00000X	Respite Care		No
13	385HR2050X	Respite Care	Respite Care Camp	No
14	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
15	261QA0600X	Clinic/Center	Adult Day Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1644091	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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