NPIMap

Organization Active NPI

Foundation Health Systems Corp

Doing business as Springwood Care Center of Forsyth

  • Skilled Nursing Facility
  • Winston Salem, NC
National Provider Identifier
1619974177
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0423 Issued in NC
Legal business name
FOUNDATION HEALTH SYSTEMS CORP
Doing business as
Springwood Care Center of Forsyth
Practice address
5755 Shattalon Drive
Winston Salem, NC 27105-1332
Phone
(336) 767-2750
Fax
(336) 767-3862
NPI assigned
Jun 30, 2005
Last updated
Oct 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Fred M. Hargett
Title
Evp Cfo
Phone
(704) 384-5184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0423 NC Primary

Addresses

Primary practice location

5755 Shattalon Drive
Winston Salem, NC 27105-1332

Mailing address

5755 Shattalon Drive
Winston Salem, NC 27105-1332
Phone (336) 767-2750

Other identifiers 2

IdentifierTypeStateIssuer
3435039MedicaidNC
3406406MedicaidNC

Other names 1

  • Springwood Care Center of Forsyth Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1619974177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 SHATTALON DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051332",
            "telephone_number": "336-767-2750",
            "fax_number": "336-767-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 SHATTALON DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051332",
            "telephone_number": "336-767-2750",
            "fax_number": "336-767-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTH SYSTEMS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "HARGETT",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EVP CFO",
        "authorized_official_telephone_number": "704-384-5184"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435039",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406406",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springwood Care Center of Forsyth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 2010; 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.