Provider Demographics
NPI:1801043484
Name:WNC FAMILY CARE HOMES, INC
Entity Type:Organization
Organization Name:WNC FAMILY CARE HOMES, INC
Other - Org Name:WNC FAMILY CARE HOME #15
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-254-4840
Mailing Address - Street 1:PO BOX 6220
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28816-6220
Mailing Address - Country:US
Mailing Address - Phone:828-254-4840
Mailing Address - Fax:828-254-4844
Practice Address - Street 1:235 COUNTRY TIME LN
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:NC
Practice Address - Zip Code:28748-6213
Practice Address - Country:US
Practice Address - Phone:828-254-4840
Practice Address - Fax:828-254-4844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL011284310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility