Organization Active NPI

G&D Quality Care, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1730226770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
G&D QUALITY CARE, INC.
Practice address
3530 Renon Rd
Winston Salem, NC 27127-5036
Phone
(336) 784-4685
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gearldine N Moore
Title
President
Phone
(336) 659-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NC Primary

Addresses

Primary practice location

3530 Renon Rd
Winston Salem, NC 27127-5036

Mailing address

3530 Renon Rd
Winston Salem, NC 27127-5036
Phone (336) 784-4685

Other identifiers 1

IdentifierTypeStateIssuer
8300939MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
GD Quality Care Inc2 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

3530 Renon Rd
Winston Salem, NC 27127
Phone (336) 784-4685

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730226770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 RENON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275036",
            "telephone_number": "336-784-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 RENON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275036",
            "telephone_number": "336-784-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&D QUALITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GEARLDINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-659-0880"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300939",
            "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 Aug 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.