Restoring Faith, Home & Health LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RESTORING FAITH, HOME & HEALTH LLC

Practice address

2830 Wild Poplar Way
Greensboro, NC 27405-2951

Phone

(336) 255-4473

Fax

(336) 500-8328

NPI assigned

Feb 17, 2025

Last updated

Jul 30, 2026By 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. Dominique Rayshawn WilliamsNPI 1710718085

Title

Ceo

Phone

(336) 255-4473

Specialties & licenses 2

Addresses

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.

• Dominique Rayshawn Williams

  • Community Health Worker
  • Greensboro, NC
  • NPI 1710718085
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1275338998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 WILD POPLAR WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052951",
            "telephone_number": "336-255-4473",
            "fax_number": "336-500-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 WILD POPLAR WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052951",
            "telephone_number": "336-255-4473",
            "fax_number": "336-500-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING FAITH, HOME & HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "RAYSHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-255-4473",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.