NPIMap

Organization Active NPI

Group Homes of Forsyth, Inc.

  • Case Management Agency
  • Winston Salem, NC
National Provider Identifier
1376725663
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MHL-304151 Issued in NC
Legal business name
GROUP HOMES OF FORSYTH, INC.
Practice address
526 W 1St St
Winston Salem, NC 27101-3736
Phone
(336) 831-1300
Fax
(336) 831-1314
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Monti Beasley
Title
Client Benefits
Phone
(336) 831-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MHL-304151 NC Primary

Addresses

Primary practice location

526 W 1St St
Winston Salem, NC 27101-3736

Mailing address

526 W 1St St
Winston Salem, NC 27101-3736
Phone (336) 831-1300

National Provider Directory

National Provider Directory
Tax ID family
Group Homes of Forsyth Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

526 W 1st St
Winston Salem, NC 27101
Phone (336) 831-1300

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1376725663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013736",
            "telephone_number": "336-831-1300",
            "fax_number": "336-831-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013736",
            "telephone_number": "336-831-1300",
            "fax_number": "336-831-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HOMES OF FORSYTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "MONTI",
        "authorized_official_title_or_position": "CLIENT BENEFITS",
        "authorized_official_telephone_number": "336-831-1300"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "MHL-304151",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 29, 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.