Climbing Jacobs Ladder LLC

Primary specialty

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

Legal business name

CLIMBING JACOBS LADDER LLC

Practice address

3401 Healy Dr
Suite-B
Winston Salem, NC 27103-1450

Phone

(336) 760-5516

Fax

(336) 760-5517

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Robert Paul

Title

Director

Phone

(336) 760-5516

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1215024682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 PRINCESS ANNE CT",
            "address_2": "SUITE -B",
            "city": "RURAL",
            "state": "NC",
            "postal_code": "270459821",
            "telephone_number": "336-760-5516",
            "fax_number": "336-760-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HEALY DR",
            "address_2": "SUITE-B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031450",
            "telephone_number": "336-760-5516",
            "fax_number": "336-760-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIMBING JACOBS LADDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-760-5516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301092",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Clifford, MD
• Lucy M Clifford, MS, CCC-SLP
• Bonnie M. Clifton, RPSGT REEGT
• Meredith Gordon Clifton, PA-C
• Climbing Jacobs Ladder Inc
• Charles Randall Clinch, DO
• David Martin Cline, MD
• Michelle Moon Cline
• Theresa M Cline, APRN, NNP-BC
• John D Clinger, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

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