Active NPI
Charles Hines & Son, Inc
- In Home Supportive Care Agency
- Winston Salem, NC
National Provider Identifier
1346394228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408751 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Charles Hines Son Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Winston Salem, NC
- NPI 1437204286
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.