Organization Active NPI

Charles Hines & Son, Inc

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1346394228
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHARLES HINES & SON, INC
Practice address
710 Coliseum Dr
Winston Salem, NC 27106-5354
Phone
(336) 896-0950
Fax
(336) 896-0955
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mr. Charles A Hines III
Title
President
Phone
(336) 896-0950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

710 Coliseum Dr
Winston Salem, NC 27106-5354

Mailing address

710 Coliseum Dr Ste 100
Winston Salem, NC 27106-5362
Phone (336) 896-0950

Other identifiers 1

IdentifierTypeStateIssuer
3408751MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Charles Hines Son Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

710 Coliseum Dr
Ste 100
Winston Salem, NC 27106
Phone (336) 896-0950

710 Coliseum Dr
Winston Salem, NC 27106
Phone (336) 896-0950

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1346394228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COLISEUM DR STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065362",
            "telephone_number": "336-896-0950",
            "fax_number": "336-896-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 COLISEUM DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065354",
            "telephone_number": "336-896-0950",
            "fax_number": "336-896-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES HINES & SON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-896-0950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408751",
            "state": "NC"
        }
    ],
    "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 Dec 17, 2019; 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.