Active NPI
Climbing Jacobs Ladder Inc
- Home Health Agency
- Winston Salem, NC
National Provider Identifier
1235432881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC4157
- Legal business name
- CLIMBING JACOBS LADDER INC
- Practice address
- 3072 Bainbridge Dr
Winston Salem, NC 27105-3916 - Phone
- (336) 529-6129
- Fax
- (336) 529-6168
- NPI assigned
- Dec 20, 2010
- Last updated
- Apr 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karla Paul
- Title
- Owner
- Phone
- (336) 529-6129
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC4157 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 13333100 | NC |
Addresses
Primary practice location
3072 Bainbridge Dr
Winston Salem, NC 27105-3916
Mailing address
3072 Bainbridge Dr
Winston Salem, NC 27105-3916
Phone (336) 529-6129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134321 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Agency
- Winston Salem, NC
- NPI 1528373354
-
- Addiction Psychiatry Physician
- Danville, VA
- NPI 1932156056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522972800000",
"number": "1235432881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3072 BAINBRIDGE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271053916",
"telephone_number": "336-529-6129",
"fax_number": "336-529-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3072 BAINBRIDGE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271053916",
"telephone_number": "336-529-6129",
"fax_number": "336-529-6168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIMBING JACOBS LADDER INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-20",
"last_updated": "2018-04-06",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "KARLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-529-6129",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC4157",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "13333100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134321",
"state": "NC"
}
],
"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 Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.