Hines Good Samaritan Home

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

HINES GOOD SAMARITAN HOME

Practice address

2219 Manchester St.
Winston-Salem, NC 27105

Phone

(336) 995-4563

Fax

(336) 607-4737

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Margaretta Louise Hines

Title

Administrator

Phone

(336) 995-4563

Specialties & licenses 3

Addresses

Tax ID family

Hines Good Samaritan Home2 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.

• Hines Good Samaritan Home

  • Adult Care Home Facility
  • Winston Salem, NC
  • NPI 1912172198
  NPD tax ID

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1740545284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 MANCHESTER ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055535",
            "fax_number": "336-607-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 MANCHESTER ST.",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27105",
            "telephone_number": "336-995-4563",
            "fax_number": "336-607-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINES GOOD SAMARITAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "MARGARETTA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-995-4563",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elizabeth Hilton, MD
• Lauren Grace Himes
• Jessica Lynn Hinaman Destefano
• Molly Hinely, PHARMD, CPP
• Hines Family Services Inc
• Hines Good Samaritan Home
• Anne Creech Hines, M.D.
• Bethany Rose Pavlinchak Hines, MD
• Courtney Tysinger Hines, PHARMD
• Daisy Marie Hines, LCMHCA

• Adult Companion in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Adult Companion in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.