NPIMap

Organization Active NPI

William Bell Group Home for Boys

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1205984622
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-034-204 Issued in NC
Legal business name
WILLIAM BELL GROUP HOME FOR BOYS
Practice address
3641 Evanston Way
Winston Salem, NC 27107-2001
Phone
(336) 784-8391
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Beverly Bell Williams
Title
Owner
Phone
(336) 767-4071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-034-204 NC Primary

Addresses

Primary practice location

3641 Evanston Way
Winston Salem, NC 27107-2001

Mailing address

250 Parkwood CT
Winston Salem, NC 27105-3531
Phone (336) 767-4071

National Provider Directory

National Provider Directory
Tax ID family
William Bell Group Home for Boys3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205984622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARKWOOD CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053531",
            "telephone_number": "336-767-4071",
            "fax_number": "336-767-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 EVANSTON WAY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072001",
            "telephone_number": "336-784-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BELL GROUP HOME FOR BOYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "BELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-767-4071",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-034-204",
            "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 Aug 22, 2020; 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.