Community Care Center for Forsyth County

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COMMUNITY CARE CENTER FOR FORSYTH COUNTY

Practice address

2135 New Walkertown Rd
Winston Salem, NC 27101-3420

Phone

(336) 723-7904

Fax

(336) 723-4163

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

James Robinson

Title

Executive Director

Phone

(336) 760-1235

Specialties & licenses 1

Addresses

Other names 1

• Doctors Care Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Community Care Center2 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.

• Community Care Center

  • Voluntary or Charitable Agency
  • Winston Salem, NC
  • NPI 1902195761
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard C Finn, MD

  • Gynecology Physician
  • Winston Salem, NC
  • NPI 1659849578
  NPD (past)
• Melody Lynn Moore, PA-C, LCSW

  • Physician Assistant
  • Olympia, WA
  • NPI 1790093730
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801002290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 NEW WALKERTOWN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013420",
            "telephone_number": "336-723-7904",
            "fax_number": "336-723-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 NEW WALKERTOWN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013420",
            "telephone_number": "336-723-7904",
            "fax_number": "336-723-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER FOR FORSYTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-760-1235"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joslyn Commodore
• Community Alternatives Inc.
• Community Alternatives, Inc.
• Community Assisted Residential Environment LLC
• Community Care Center
• Community Intervention & Educational Ser
• Community Resource Solutions, LLC
• Community Support Assistance Program
• Compassion in Care at Home
• Compassionate and Caring Health/Help Home Care LLC

• Community Health Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community Health Clinic/Center in North Carolina

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.