Healthtique Winston Salem, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HEALTHTIQUE WINSTON SALEM, LLC

Practice address

1900 W 1St St
Winston Salem, NC 27104-4220

Phone

(336) 724-2821

Fax

(336) 725-8314

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael T. Jones

Title

Manager

Phone

(770) 630-0900

Specialties & licenses 1

Addresses

Other names 1

• Winston Salem Nursing & Rehabilitation Center Other name

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1356617419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 3RD ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016135",
            "telephone_number": "828-322-8171",
            "fax_number": "828-322-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044220",
            "telephone_number": "336-724-2821",
            "fax_number": "336-725-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTIQUE WINSTON SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-630-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston Salem Nursing & Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.