Transcending Minds

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

8301462 Issued in NC

Legal business name

TRANSCENDING MINDS

Practice address

4407 Providence LN Ste C
Winston Salem, NC 27106-3264

Phone

(336) 499-7683

Fax

(336) 499-3952

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By 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

Mr. Antonio L Broady, B.S

Title

President Ceo

Phone

(336) 499-7683

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255496204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 PROVIDENCE LN STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063264",
            "telephone_number": "336-499-7683",
            "fax_number": "336-499-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 PROVIDENCE LN STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063264",
            "telephone_number": "336-499-7683",
            "fax_number": "336-499-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDING MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROADY",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "336-499-7683",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8301462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.