Organization Active NPI

Climbing Jacobs Ladder Inc

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1235432881
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4157 Issued in NC
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Mrs. Karla PaulNPI 1528373354
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
134321MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.