NPIMap

Organization Active NPI

Carolina Classic Senior Care, LLC

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1093253288
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAROLINA CLASSIC SENIOR CARE, LLC
Practice address
1922 S Martin Luther King Jr Dr
Winston Salem, NC 27107-1361
Phone
(336) 464-3124
Fax
(336) 734-6717
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Dr. Ruth Muze, RN, PHD, CSCMNPI 1285154161
Title
Director
Phone
(336) 745-8862

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NC Primary
Adult Care Home Facility 311ZA0620X
Respite Care 385H00000X

Addresses

Primary practice location

1922 S Martin Luther King Jr Dr
Winston Salem, NC 27107-1361

Mailing address

1922 S Martin Luther King Jr Dr
Winston Salem, NC 27107-1361
Phone (336) 464-3124

National Provider Directory

National Provider Directory

Locations

1922 S Martin Luther King Jr Dr
Winston Salem, NC 27107
Phone (336) 776-3154

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1093253288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "336-464-3124",
            "fax_number": "336-734-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "336-464-3124",
            "fax_number": "336-734-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CLASSIC SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "MUZE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-745-8862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, PHD, CSCM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "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 Nov 5, 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.