Organization Active NPI

Zoe: Behavior Health Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1679675656
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Apr 19, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3418023MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Zoe Behavior Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.