Active NPI
Zoe: Behavior Health Services, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Winston Salem, NC
National Provider Identifier
1679675656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ZOE: BEHAVIOR HEALTH SERVICES, INC.
- Practice address
- 1922 S Martin Luther King Jr Dr
Box N Suite 224
Winston Salem, NC 27107-1361 - Phone
- (336) 734-6911
- Fax
- (336) 734-6917
- NPI assigned
- Sep 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. April B Witherspoon, B.A.SOCIOLOGY
- Title
- Ceo, Director
- Phone
- (336) 734-6911
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 9046 | NC |
Addresses
Primary practice location
1922 S Martin Luther King Jr Dr
Box N Suite 224
Winston Salem, NC 27107-1361
Mailing address
1922 S Martin Luther King Jr Dr
Box N Suite 224
Winston Salem, NC 27107-1361
Phone (336) 734-6911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418023 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Zoe Behavior Health Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Winston Salem, NC
- NPI 1154516367
Locations
1922 S Martin Luther King Jr Dr
Ste 224
Winston Salem, NC 27107
Phone (336) 734-6911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366329600000",
"number": "1679675656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 S MARTIN LUTHER KING JR DR",
"address_2": "BOX N SUITE 224",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271071361",
"telephone_number": "336-734-6911",
"fax_number": "336-734-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 S MARTIN LUTHER KING JR DR",
"address_2": "BOX N SUITE 224",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271071361",
"telephone_number": "336-734-6911",
"fax_number": "336-734-6917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZOE: BEHAVIOR HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2013-04-19",
"status": "A",
"authorized_official_last_name": "WITHERSPOON",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO, DIRECTOR",
"authorized_official_telephone_number": "336-734-6911",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "B.A.SOCIOLOGY"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NC",
"license": "9046",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418023",
"state": "NC"
}
],
"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 Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.