Wings Group Home LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WINGS GROUP HOME LLC

Practice address

1000 Baxter St
Charlotte, NC 28204-2859

Phone

(704) 449-2309

NPI assigned

Sep 29, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Dontae Henderson, NCCPSS

Title

Ceo/Owner

Phone

(704) 499-2309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1457075814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BAXTER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042859",
            "telephone_number": "704-449-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BAXTER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042859",
            "telephone_number": "704-449-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DONTAE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "704-499-2309",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCCPSS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Wing
• Philita Wing
• Richard Lee Wing, M.D.
• Kristen Trull Wingate
• Jodi Lee Wingrove, RD, LDN
• Shavonne Wingster, PSS
• Holly Rochelle Winiarski, PHD
• Amy M Winiger, NP
• Kwanza Suzanne Winn, LMSW, LCSW
• James C Winnek, LPC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.