SHEPHERD GROVE FAMILY CARE
NPI 1003099029
Assisted Living Facility in Wilson, NC

Q: What is Willie N Dixon's NPI number?

The NPI number for Willie N Dixon is 1003099029. It was assigned to this organization in the NPPES registry on December 13, 2007. The provider is doing business as Shepherd Grove Family Care.

Q: What is Willie N Dixon's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Willie N Dixon was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2007

2817 TILGHMAN RD N, WILSON, NC 27896(252) 243-9827(252) 291-9448 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shepherd Grove Family Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEPHERD GROVE FAMILY CARE (NPI 1003099029) is a healthcare organization registered as an assisted living facility in Wilson, North Carolina and active in the NPI registry since December 2007. The organization lists Willie N Dixon, Owner, as its authorized official.

NPPES Registry Identity

NPI1003099029

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameWILLIE N DIXON

Location Address2817 TILGHMAN RD NWilson, NC 27896-8908

Mailing Address2817 Tilghman Rd NWilson, NC 27896-8908 · (252) 243-9827 · Fax (252) 291-9448

Phone(252) 243-9827

Fax(252) 291-9448

Organization SubpartNo

Authorized OfficialWillie N DixonOwner · (252) 243-9827

Enumeration DateDecember 13, 2007

Last NPPES UpdateJune 23, 2008

✔ NPI 1003099029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in NC · FCL-098-009

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.

2817 TILGHMAN RD N, Wilson, NC 27896

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Other Names 1

Doing Business AsShepherd Grove Family Care

Other Identifiers 1

Medicaid7801424NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIE NATHANIEL DIXON

Assisted Living Facility

2817 TILGHMAN RD N
WILSON, NC 27896

Wilson County (252) 243-9827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie N Dixon's NPI number?

The NPI number for Willie N Dixon is 1003099029. It was assigned to this organization in the NPPES registry on December 13, 2007. The provider is doing business as Shepherd Grove Family Care.

Where is Willie N Dixon located?

Willie N Dixon is located at 2817 Tilghman Rd N, Wilson, NC 27896. The listed phone number is (252) 243-9827.

What is Willie N Dixon's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Willie N Dixon was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.