Organization Active NPI

Triad. Home Care, Inc

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1194903823
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRIAD. HOME CARE, INC
Practice address
1020 Brookstown Ave Ste 4
Winston Salem, NC 27101-2539
Phone
(336) 725-3815
Fax
(336) 725-3815
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. William B Hairston Jr.
Title
President
Phone
(336) 725-3815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1020 Brookstown Ave Ste 4
Winston Salem, NC 27101-2539

Mailing address

1020 Brookstown Ave Ste 4
Winston Salem, NC 27101-2539
Phone (336) 725-3815

National Provider Directory

National Provider Directory
Tax ID family
THC Express2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1194903823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BROOKSTOWN AVE STE 4",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012539",
            "telephone_number": "336-725-3815",
            "fax_number": "336-725-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BROOKSTOWN AVE STE 4",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012539",
            "telephone_number": "336-725-3815",
            "fax_number": "336-725-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD. HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-725-3815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 5, 2008; 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.