Organization Active NPI

C&G Group Home, LLC

  • Home Health Aide
  • Winston Salem, NC
National Provider Identifier
1548975337
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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

Updated by the provider on May 23, 2024

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

Authorized official

Name
Mrs. Yvonne Cheeks, PH.DNPI 1861231557
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)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1861231557MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheeksy@windstream.net Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.