Sylvanglade Services, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL041929 Issued in NC

Legal business name

SYLVANGLADE SERVICES, INC

Practice address

2300 West Meadowview Road
218,220,222,224
Greensboro, NC 27407-3711

Phone

(336) 450-7215

Fax

(336) 450-2007

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Sherrill Kaye Davis

Title

Director

Phone

(336) 218-1176

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1598046013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WEST MEADOWVIEW ROAD",
            "address_2": "218,220,222,224",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073711",
            "telephone_number": "336-450-7215",
            "fax_number": "336-676-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WEST MEADOWVIEW ROAD",
            "address_2": "218,220,222,224",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073711",
            "telephone_number": "336-450-7215",
            "fax_number": "336-450-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVANGLADE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHERRILL",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-218-1176"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL041929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409577",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Matthews Swinyer, NP
• Raeeha Syeda
• Jean C. Sykes, PHD,RD, LDN
• Mary Abigail Sykes, PHARMD
• Sylvabel Pediatric Therapy Services
• Rachel McKenna Sylvester, DNP
• Hallie Sylvestro, LPCA
• Angela Syphaseut, AGNP-C
• Robert Van Cleve Sypher Jr., MD
• Geny Marie Szabela, OTR/L

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.