Citadel at Winston Salem LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CITADEL AT WINSTON SALEM LLC

Practice address

1900 W 1St St
Winston Salem, NC 27104-4220

Phone

(336) 724-2821

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Batya Gorelick

Title

VP of Administrative Services

Phone

(336) 724-2821

Specialties & licenses 2

Addresses

Other names 1

• Willow Valley Center for Nursing and Rehabilitation Doing business as

Practitioners 1

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

• Arun Kumar Grover, M.D.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1720145998
  NPD (past)

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1821551797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044220",
            "telephone_number": "336-724-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL AT WINSTON SALEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "336-724-2821"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Valley Center for Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Isabel Cillis, DO
• Sarah Nicole Cilvik, MD,PHD
• Margaret Anne Cinderella, M.D.
• Circle of Life Nutrition LLC
• Kathryn Glenn Ciser, M.D.
• City Medical Supply
• Joe Wilberte Cius, LCMHC-A
• Jordyn Clagett
• Michael Forrest Clamp, M.D.
• Clarity Wellness Counseling, PLLC

• All providers in Winston Salem, NC
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.