NPIMap

Organization Active NPI

Lambs of the Triad Homecare Service

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1124784004
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LAMBS OF THE TRIAD HOMECARE SERVICE
Practice address
450 W Hanes Mill Rd
Winston Salem, NC 27105-9141
Phone
(336) 761-9058
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Dreshauna A Hurst
Title
Owner
Phone
(336) 761-9058

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

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

Mailing address

450 W Hanes Mill Rd
Winston Salem, NC 27105-9141
Phone (336) 761-9058

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EFAX Direct

National Provider Directory

National Provider Directory

Locations

450 W Hanes Mill Rd
Winston Salem, NC 27105
Phone (336) 761-9058

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1124784004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-761-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-761-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMBS OF THE TRIAD HOMECARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "DRESHAUNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-761-9058"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EFAX",
            "affiliation": "N",
            "endpointDescription": "SECURE FAX",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SECURE FAX",
            "address_1": "450 W Hanes Mill Rd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271059141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 31, 2022; 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.