Winston'S Residential, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WINSTON'S RESIDENTIAL, LLC

Practice address

4813 Pawpans CT
North Chesterfield, VA 23237-2115

Phone

(804) 363-9879

NPI assigned

Feb 19, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Sonia Ivette Winston, RN

Title

Owner/Ceo

Phone

(804) 363-9879

Specialties & licenses 3

Addresses

Other names 1

• Winston's Residential, LLC Other name

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1205581071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14649 GRAND FOREST TER",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238346827",
            "telephone_number": "804-363-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 PAWPANS CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232372115",
            "telephone_number": "804-363-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON'S RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "804-363-9879",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston's Residential, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Winston's Residential, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel R Winfield, PT
• Kendra Lashell Winfield, RBT
• Minique Winfree
• Jordan Winn
• Amelia Lucinda Woodson Winston, LPN
• Taryn Alyssa Winters, DPT
• Thamer Wisam
• Jordan Witt, DPT
• Christopher Wolberg, DDS
• Mandi M Wolfe, FPN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.