Organization Active NPI

Hatties Sunflower Place Inc

Doing business as Adult home

  • Adult Care Home Facility
  • Winston Salem, NC
National Provider Identifier
1639757818
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HATTIES SUNFLOWER PLACE INC
Doing business as
Adult home
Practice address
3925 Bethania Station Rd Apt 9
Winston Salem, NC 27106-2628
Phone
(336) 815-1192
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Artanza Shaw
Title
President
Phone
(336) 726-4605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

3925 Bethania Station Rd Apt 9
Winston Salem, NC 27106-2628

Mailing address

756 Ronnie St
Metter, GA 30439-3415

Other names 1

  • Adult home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1639757818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 RONNIE ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 BETHANIA STATION RD APT 9",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062628",
            "telephone_number": "336-815-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIES SUNFLOWER PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ARTANZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-726-4605"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult home",
            "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 Aug 24, 2021; 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.