Twin City Boxing & Fitness Club

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TWIN CITY BOXING & FITNESS CLUB

Doing business as

Heart to Heart Care Services

Practice address

1316 Winfield Dr
Winston Salem, NC 27105-1947

Phone

(336) 391-6123

Fax

(336) 896-1729

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Miss Carlette V EwellNPI 1912455627

Title

Owner

Phone

(336) 391-6123

Specialties & licenses 1

Addresses

Other names 1

• Heart to Heart Care Services Doing business as

Practitioners 1

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

• Carlette Ewell

  • Case Management Agency
  • Winston Salem, NC
  • NPI 1912455627
  NPD (past) Authorized official

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1164892980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 WINFIELD DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051947",
            "telephone_number": "336-391-6123",
            "fax_number": "336-896-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 WINFIELD DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051947",
            "telephone_number": "336-391-6123",
            "fax_number": "336-896-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY BOXING & FITNESS CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "EWELL",
        "authorized_official_first_name": "CARLETTE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-391-6123",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart to Heart Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Joseph Tuttle, MD
• Nicholas Ryan Tuttle, CRNA
• Reuben Gray Tuttle III, DDS
• Ronald Gray Tuttle, OPTICIAN
• Rachel Agyekum Twerefour
• Twin City Chiropractic
• Twin City Medical Supply
• Twincity Medical Mobile Diagnostics
• Elizabeth Lenfestey Tysinger, NP-C
• Kathryn Kelly Tysinger, CRNA

• Case Management Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.