NPIMap

Organization Active NPI

Foundation Health Systems, Corp

  • Nursing Facility/Intermediate Care Facility
  • Winston-Salem, NC
National Provider Identifier
1801848841
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0423 Issued in NC
Legal business name
FOUNDATION HEALTH SYSTEMS, CORP
Practice address
5755 Shattalon Dr
Winston-Salem, NC 27105-1332
Phone
(336) 718-6800
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dean Swindle
Title
Evp/Cfo
Phone
(336) 718-2014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0423 NC Primary

Addresses

Primary practice location

5755 Shattalon Dr
Winston-Salem, NC 27105-1332

Mailing address

2085 Frontis Plaza Blvd
Winston-Salem, NC 27103-5614
Phone (336) 277-1065

Other identifiers 2

IdentifierTypeStateIssuer
3406406MedicaidNC
3435039MedicaidNC

Other names 1

  • Springwood Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foundation Hea LTH System30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1801848841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-277-1065",
            "fax_number": "336-277-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 SHATTALON DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271051332",
            "telephone_number": "336-718-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTH SYSTEMS, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "SWINDLE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "336-718-2014"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406406",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435039",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springwood Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 11, 2008; 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.