Organization Active NPI

Slayton's Support Home LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1366361552
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SLAYTON'S SUPPORT HOME LLC
Practice address
4811 Black Forest Dr
Greensboro, NC 27405-9826
Phone
(434) 709-8317
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Nicholas O'Nelius SlaytonNPI 1659207223
Title
Owner
Phone
(434) 709-8317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4811 Black Forest Dr
Greensboro, NC 27405-9826

Mailing address

4811 Black Forest Dr
Greensboro, NC 27405-9826
Phone (434) 709-8317

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1366361552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 BLACK FOREST DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059826",
            "telephone_number": "434-709-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 BLACK FOREST DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059826",
            "telephone_number": "434-709-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAYTON'S SUPPORT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "SLAYTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "O'NELIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-709-8317"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.