Organization Active NPI

Winstead Supervised Living

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Roxboro, NC
National Provider Identifier
1154647147
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
WINSTEAD SUPERVISED LIVING
Practice address
7300 Virgilina Rd
Roxboro, NC 27574-8394
Phone
(336) 599-6938
NPI assigned
Apr 15, 2010
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Theresa H Winstead
Title
Owner
Phone
(336) 599-4936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NC Primary

Addresses

Primary practice location

7300 Virgilina Rd
Roxboro, NC 27574-8394

Mailing address

2869 McGhees Mill Rd
Semora, NC 27343-9189
Phone (336) 599-4936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1154647147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 MCGHEES MILL RD",
            "city": "SEMORA",
            "state": "NC",
            "postal_code": "273439189",
            "telephone_number": "336-599-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 VIRGILINA RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748394",
            "telephone_number": "336-599-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTEAD SUPERVISED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "WINSTEAD",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-599-4936"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.