NPIMap

Organization Active NPI

My Sister's Place Community Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1013107143
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MY SISTER'S PLACE COMMUNITY SERVICES, INC.
Practice address
2925 S Main St
Winston Salem, NC 27127-4006
Phone
(336) 784-5922
Fax
(336) 650-9516
NPI assigned
Jul 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joan Marie White
Title
Ceo & Executive Director
Phone
(336) 784-5922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU

Addresses

Primary practice location

2925 S Main St
Winston Salem, NC 27127-4006

Mailing address

908 Glencoe St
Winston Salem, NC 27107-3315
Phone (336) 784-5922

National Provider Directory

National Provider Directory
Tax ID family
My Sister's Place Community Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013107143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 GLENCOE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271073315",
            "telephone_number": "336-784-5922",
            "fax_number": "336-650-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 S MAIN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274006",
            "telephone_number": "336-784-5922",
            "fax_number": "336-650-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SISTER'S PLACE COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-784-5922"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.