Salem Terrace Alf Opco LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SALEM TERRACE ALF OPCO LLC

Doing business as

Grand Villa Assisted Living at Winston
Salem Terrace Assisted Living

Practice address

2609 Old Salisbury Rd
Winston Salem, NC 27127-5903

Phone

(336) 785-1935

NPI assigned

Sep 7, 2022

Last updated

Feb 15, 2023By 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

Shaindel Minzer

Title

Corporate Office Manager

Phone

(727) 697-9920

Specialties & licenses 2

Addresses

Other names 2

• Grand Villa Assisted Living at Winston Doing business as
• Salem Terrace Assisted Living Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1700507852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 AVENUE J FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103838",
            "telephone_number": "727-697-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 OLD SALISBURY RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275903",
            "telephone_number": "336-785-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM TERRACE ALF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MINZER",
        "authorized_official_first_name": "SHAINDEL",
        "authorized_official_title_or_position": "CORPORATE OFFICE MANAGER",
        "authorized_official_telephone_number": "727-697-9920"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pcc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2609 Old Salisbury Rd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271275903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grand Villa Assisted Living at Winston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salem Terrace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salem Terrace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.