Organization Active NPI

Yahweh Healing Minds Community Care LLC

  • Case Management Agency
  • Winston Salem, NC
National Provider Identifier
1033089719
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YAHWEH HEALING MINDS COMMUNITY CARE LLC
Practice address
5580 Angel Oaks Dr
Winston Salem, NC 27105-9112
Phone
(929) 351-7288
NPI assigned
Nov 7, 2025
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Ebony MaldonadoNPI 1205706959
Title
Founder
Phone
(929) 351-7288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

5580 Angel Oaks Dr
Winston Salem, NC 27105-9112

Mailing address

5580 Angel Oaks Dr
Winston Salem, NC 27105-9112

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1033089719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 ANGEL OAKS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 ANGEL OAKS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059112",
            "telephone_number": "929-351-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHWEH HEALING MINDS COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "929-351-7288"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 7, 2025; 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.