Active NPI
C&G Group Home, LLC
- Home Health Aide
- Winston Salem, NC
National Provider Identifier
1548975337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- C&G GROUP HOME, LLC
- Practice address
- 508 E 15TH St
Winston Salem, NC 27105-6161 - Phone
- (336) 655-7831
- Fax
- (336) 661-3059
- NPI assigned
- Jan 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yvonne Cheeks, PH.D
- Title
- President
- Phone
- (336) 655-7831
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
508 E 15TH St
Winston Salem, NC 27105-6161
Mailing address
6010 Summer Trace LN
Winston Salem, NC 27105-9124
Phone (336) 655-7831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861231557 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cheeksy@windstream.net | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Winston-Salem, NC
- NPI 1861231557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1548975337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 SUMMER TRACE LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271059124",
"telephone_number": "336-655-7831",
"fax_number": "336-661-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E 15TH ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271056161",
"telephone_number": "336-655-7831",
"fax_number": "336-661-3059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C&G GROUP HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-17",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "CHEEKS",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-655-7831",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861231557",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cheeksy@windstream.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "508 E 15th St",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271056161",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
- Charity Anne Byrum, OT
- Graham Vance Byrum III, MD
- Peggy A Byun, MD
- C & Y Medical Service PA
- C.R.T. Golden Lamb Rest Home, Inc.
- C&W Alternative Family Living Facility, Inc.
- Elimarie Caballero Quinones
- Shana-Ann Caballes, CRNA
- Cabarrus Rowan Community Health Centers, Inc.
- Cabarrus Rowan Community Health Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.