A Sure House, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL 034-207 Issued in NC

Legal business name

A SURE HOUSE, INC

Practice address

1265 Arbor Rd
Winston Salem, NC 27104-1105

Phone

(336) 722-1627

Fax

(336) 722-1564

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Lavette Phillips

Title

Executive Director

Phone

(336) 722-1627

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1295921153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 ARBOR RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041105",
            "telephone_number": "336-722-1627",
            "fax_number": "336-722-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 ARBOR RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041105",
            "telephone_number": "336-722-1627",
            "fax_number": "336-722-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SURE HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-722-1627",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 034-207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604045",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Primary Choice, Inc.
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• A Quality Health Care LLC
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• A Quest for Change
• A Sure House, Inc.
• A Touch of Care, LLC
• A Touch of Care, LLC
• A Touch of Care, LLC
• A Vision for You LLC

• All providers in Winston Salem, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.