Salem House of Winston-Salem, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL034074 Issued in NC

Legal business name

SALEM HOUSE OF WINSTON-SALEM, LLC

Doing business as

Salem House

Practice address

2560 Willard Rd
Winston-Salem, NC 27107-5585

Phone

(336) 650-0699

Fax

(336) 650-0132

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Tina A Hallman

Title

Controller

Phone

(828) 324-8898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Salem House Doing business as

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063408193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 WILLARD RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271075585",
            "telephone_number": "336-650-0699",
            "fax_number": "336-650-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 WILLARD RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271075585",
            "telephone_number": "336-650-0699",
            "fax_number": "336-650-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HOUSE OF WINSTON-SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "828-324-8898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL034074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805233",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Helen Saldanha, PA
• Sadegh Saleknezhad, MD
• Salem Counseling & Consulting, PLLC
• Salem Counseling Center, PLLC
• Salem Gynecology PLLC (Charles B. Evans, M. D.)
• Salem Kidney Center of Wake Forest University (Salem Kidney Center)
• Salem Medical Supply Inc
• Salem Mental Health Associates PLLC
• Salem Neurological Center, P.a.
• Salem Optical Outlet (Salem Optical Company)

• Assisted Living Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Assisted Living Facility in North Carolina

• 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.