Organization Active NPI

Charles Hines & Son, Inc

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1437204286
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHARLES HINES & SON, INC
Practice address
710 Coliseum Dr Ste 100
Winston Salem, NC 27106-5362
Phone
(336) 896-0950
Fax
(336) 896-0955
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

710 Coliseum Dr Ste 100
Winston Salem, NC 27106-5362

Mailing address

8025 N Point Blvd
Suite 215-a
Winston Salem, NC 27106-3262
Phone (336) 896-0950

Other identifiers 4

IdentifierTypeStateIssuer
8300141KMedicaidNC
8300141GMedicaidNC
8300141MedicaidNC
8300141BMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Winston-Salem Direct

National Provider Directory

National Provider Directory
Tax ID family
Charles Hines Son Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8025 N Point Blvd
Ste 215A
Winston Salem, NC 27106

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1437204286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD",
            "address_2": "SUITE 215-A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063262",
            "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 STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065362",
            "telephone_number": "336-896-0950",
            "fax_number": "336-896-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES HINES & SON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-11-21",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300141K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300141G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300141",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300141B",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Winston-Salem",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "710 Coliseum Dr Ste 100",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271065362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 21, 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.

Verify at the official NPI Registry.