Active NPI
Cape Fear Group Homes, Inc.
- Community/Behavioral Health Agency
- Winston Salem, NC
National Provider Identifier
1255097127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CAPE FEAR GROUP HOMES, INC.
- Practice address
- 3410 Healy Dr Ste 204
Winston Salem, NC 27103-1568 - Phone
- (336) 293-4018
- Fax
- (910) 251-0590
- NPI assigned
- Nov 15, 2021
- Last updated
- Dec 22, 2021
- Organization subpart
- Yes
- Parent organization
- CAPE FEAR GROUP HOMES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keyana Latrise Mapson
- Title
- Office Manager
- Phone
- (910) 251-2555
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3410 Healy Dr Ste 204
Winston Salem, NC 27103-1568
Mailing address
PO Box 4203
Wilmington, NC 28406-1203
Phone (910) 251-2555
Other names 1
- Forsyth County Supported Employment Office
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmapson@capefeargh.org | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Robin Hood Group Home
- Part of
- Robin Hood Group Home
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1386037505
-
- Intellectual Disabilities Intermediate Care Facility
- Wilmington, NC
- NPI 1598847550
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1659030294
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Wilmington, NC
- NPI 1811573025
-
dba Supported Employment Burlington
- Community/Behavioral Health Agency
- Burlington, NC
- NPI 1851042592
-
- Intellectual Disabilities Intermediate Care Facility
- Wilmington, NC
- NPI 1053657973
Locations
3410 Healy Dr
Ste 204
Winston Salem, NC 27103
Phone (336) 499-9938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1255097127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4203",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284061203",
"telephone_number": "910-251-2555",
"fax_number": "910-251-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 HEALY DR STE 204",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031568",
"telephone_number": "336-293-4018",
"fax_number": "910-251-0590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPE FEAR GROUP HOMES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAPE FEAR GROUP HOMES, INC.",
"enumeration_date": "2021-11-15",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "MAPSON",
"authorized_official_first_name": "KEYANA",
"authorized_official_middle_name": "LATRISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "910-251-2555"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmapson@capefeargh.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pdf",
"address_1": "102 Old Eastwood Rd Ste D2-9",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284030500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Forsyth County Supported Employment Office",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Forsyth County Supported Employment Office",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.