Tranquility Care of Winston-Salem, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

A00003053 Issued in NC

Legal business name

TRANQUILITY CARE OF WINSTON-SALEM, LLC

Doing business as

Forsyth Village

Practice address

5100 Lansing Dr
Winston Salem, NC 27105-3115

Phone

(336) 978-3160

NPI assigned

Apr 4, 2017

Last updated

Jun 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Whitney R Martinez

Title

Owner/Administrator

Phone

(336) 244-9820

Specialties & licenses 1

Addresses

Other names 1

• Forsyth Village Doing business as

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1700319001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 LANSING DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053115",
            "telephone_number": "336-244-9820",
            "fax_number": "336-744-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 LANSING DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053115",
            "telephone_number": "336-978-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY CARE OF WINSTON-SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "336-244-9820"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "A00003053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forsyth Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forsyth Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.