Organization Active NPI

Modern Hope of North Carolina

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1265033021
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MODERN HOPE OF NORTH CAROLINA
Practice address
755 Highland Oaks Dr Ste 204
Winston Salem, NC 27103-7106
Phone
(336) 745-1499
NPI assigned
Nov 6, 2020
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Mrs. Jennifer King
Title
President
Phone
(336) 745-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

755 Highland Oaks Dr Ste 204
Winston Salem, NC 27103-7106

Mailing address

3570 Vest Mill Rd Ste H
Winston Salem, NC 27103-2963

National Provider Directory

National Provider Directory

Locations

3570 Vest Mill Rd
Ste H
Winston Salem, NC 27103
Phone (336) 745-1499

Practitioners & affiliated clinicians

Practitioners 1

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": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1265033021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 VEST MILL RD STE H",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGHLAND OAKS DR STE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037106",
            "telephone_number": "336-745-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HOPE OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-745-1499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 12, 2025; 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.