NPIMap

Organization Active NPI

Angelic Community & Family Services of Forsyth County

  • Exclusive Provider Organization
  • Winston Salem, NC
National Provider Identifier
1568601094
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
ANGELIC COMMUNITY & FAMILY SERVICES OF FORSYTH COUNTY
Practice address
200 Charlois Blvd
Ste 400
Winston Salem, NC 27103-1536
Phone
(336) 768-7372
Fax
(336) 768-7374
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Eric Mitchell
Title
Director of Operations
Phone
(704) 968-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

200 Charlois Blvd
Ste 400
Winston Salem, NC 27103-1536

Mailing address

200 Charlois Blvd
Ste 400
Winston Salem, NC 27103-1536
Phone (336) 768-7372

National Provider Directory

National Provider Directory

Locations

200 Charlois Blvd
Ste 400
Winston Salem, NC 27103
Phone (336) 768-7372

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1568601094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHARLOIS BLVD",
            "address_2": "STE 400",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031536",
            "telephone_number": "336-768-7372",
            "fax_number": "336-768-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHARLOIS BLVD",
            "address_2": "STE 400",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031536",
            "telephone_number": "336-768-7372",
            "fax_number": "336-768-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC COMMUNITY & FAMILY SERVICES OF FORSYTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "704-968-6100"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 6, 2009; 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.