NPIMap

Organization Active NPI

Shekinah Resource Foundation

  • Non-emergency Medical Transport (VAN)
  • Winston Salem, NC
National Provider Identifier
1124488200
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
27780134 Issued in NC
Legal business name
SHEKINAH RESOURCE FOUNDATION
Practice address
450 W Hanes Mill Rd
Ste 222
Winston Salem, NC 27105-9141
Phone
(336) 747-3479
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Kevin A SmithNPI 1881052439
Title
President/Ceo
Phone
(336) 747-3479

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
Non-emergency Medical Transport (VAN) 343900000X 27780134 NC Primary

Addresses

Primary practice location

450 W Hanes Mill Rd
Ste 222
Winston Salem, NC 27105-9141

Mailing address

450 W Hanes Mill Rd
Ste 222
Winston Salem, NC 27105-9141
Phone (336) 747-3479

Other identifiers 1

IdentifierTypeStateIssuer
27780134OtherNCNON EMERGENCY MEDICAL TRANSPORTATION

National Provider Directory

National Provider Directory
Tax ID family
Shekinah Resource Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

450 W Hanes Mill Rd
Ste 222
Winston Salem, NC 27105
Phone (336) 747-3479

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": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1124488200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD",
            "address_2": "STE 222",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-747-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD",
            "address_2": "STE 222",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-747-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH RESOURCE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "336-747-3479"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "27780134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON EMERGENCY MEDICAL TRANSPORTATION",
            "identifier": "27780134",
            "state": "NC"
        }
    ],
    "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 Mar 2, 2016; 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.