Endwell Homes LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ENDWELL HOMES LLC

Practice address

4403 Paula Dr
Winston Salem, NC 27127-6835

Phone

(757) 513-8987

Fax

(336) 893-6288

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Anthony I Okafor, PHARMD.

Title

President

Phone

(757) 513-8987

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1700293883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 PAULA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276835",
            "telephone_number": "757-513-8987",
            "fax_number": "336-893-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 PAULA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276835",
            "telephone_number": "757-513-8987",
            "fax_number": "336-893-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDWELL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-513-8987",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Emory, M.D.
• Empowerment Point
• Enbrace Inc
• Endwell Homes 1 LLC
• Endwell Homes 2
• Gina Lee Enevold, NP
• Engage Speech and Language Therapy Services
• Mary Madison England
• Lisa Englander, M.P.H., R.D., L.D.N.
• Betsy M. English, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.