Faithful Companion Group Home

Primary specialty

Respite CareTaxonomy code 385H00000X

License

MHL034295 Issued in NC

Legal business name

FAITHFUL COMPANION GROUP HOME

Doing business as

Patrecih Taylor

Practice address

2002 Craver Meadows Dr
Winston Salem, NC 27127-8916

Phone

(336) 602-9858

Fax

(336) 448-0096

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Patrecih Reany Taylor, RNNPI 1003172214

Title

Director

Phone

(336) 602-9858

Specialties & licenses 1

Addresses

Other names 1

• Patrecih Taylor Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrecih R Taylor, RN

  • Registered Nurse
  • Winston Salem, NC
  • NPI 1003172214
  NPD (past) Authorized official

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1013251883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 CRAVER MEADOWS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271278916",
            "telephone_number": "336-602-9858",
            "fax_number": "336-448-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 CRAVER MEADOWS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271278916",
            "telephone_number": "336-602-9858",
            "fax_number": "336-448-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL COMPANION GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PATRECIH",
        "authorized_official_middle_name": "REANY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-602-9858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "MHL034295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrecih Taylor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Bivens Faircloth, LPT
• Niki S Faircloth, PT, DPT, ATC
• Fairway Home Care LLC
• Tiffany Nicole Faison
• Faith Seeds Community Reentry Coalition
• Sally Falahat
• Robert Newton Falge, MD
• Mohammad Kazem Fallahzadeh Abarghouei, M.D.
• Nancy Irene Faller, DO
• Joshua Howard Fallin, LAT, ATC

• Respite Care in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Respite Care in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.