Winston Salem Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

923570 Issued in NC

Legal business name

WINSTON SALEM HEALTHCARE LLC

Doing business as

Grace Healthcare of Winston Salem

Practice address

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

Phone

(336) 724-2821

Fax

(336) 725-8314

NPI assigned

Nov 8, 2007

Last updated

Jun 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alice Marie Clark Danks, CPA

Title

VP of Finance

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GRACE HEALTHCARE OF WINSTON SALEM Doing business as

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1417137340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "WINSTON SALEM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "CLARK DANKS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "923570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345092",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416540",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE HEALTHCARE OF WINSTON SALEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winston Hearing Care Inc
• Winston Neurology, PA
• Winston Neurology, PA
• Winston Psychiatric Associates PA
• Winston Salem Dermatology & Surgery
• Winston Salem Holdings LLC (Reynolds House)
• Winston Salem Industries for the Blind
• Winston Salem Optometric Group PA (C distinctive eyewear)
• Winston Salem Rehab Operations LLC
• Winston Salem State University (WSSU Wellness Center Pharmacy)

• 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 Jun 9, 2008; 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.