Endwell Homes 2

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ENDWELL HOMES 2

Practice address

4403 Paula Dr
Winston Salem, NC 27127-6835

Phone

(757) 513-8987

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Okafor

Title

President

Phone

(757) 513-8987

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1225483068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 INDIANA AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271052510",
            "telephone_number": "757-513-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 PAULA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276835",
            "telephone_number": "757-513-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDWELL HOMES 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-513-8987"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Christine Emmons, MD
• Cynthia Lynn Emory, M.D.
• Empowerment Point
• Enbrace Inc
• Endwell Homes 1 LLC
• Endwell Homes LLC
• Gina Lee Enevold, NP
• Engage Speech and Language Therapy Services
• Mary Madison England
• Lisa Englander, M.P.H., R.D., L.D.N.

• Mental Illness Community Based Residential Treatment Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Illness 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 Apr 29, 2016; 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.