Sanctuary at Lake Daniels LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

SANCTUARY AT LAKE DANIELS LLC

Practice address

1405 Garland Dr
Greensboro, NC 27408-8609

Phone

(951) 391-9028

NPI assigned

Oct 20, 2025

Last updated

Oct 21, 2025By 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

Candis Tate

Title

Director

Phone

(951) 391-9028

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1710854344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 GARLAND DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088609",
            "telephone_number": "951-391-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 GARLAND DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088609",
            "telephone_number": "951-391-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY AT LAKE DANIELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-391-9028"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jai-Gurmukh Kishore Samtani, M.D.
• Amy Samuels
• Lady Leidy Sanchez Fernandez
• Lizette Sanchez-Lugo, PH.D., R.D.
• Christina Ann Sanchez, MSW, P-LCSW
• Sanctuary House
• Sanctuary House
• Sanctuary House
• Sanctuary House
• Sanctuary House

• Community Health Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.