NPIMap

Organization Active NPI

Piedmont Premium Care,LLC

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1831719228
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PIEDMONT PREMIUM CARE,LLC
Practice address
500 W 4TH St Ste 201F
Winston Salem, NC 27101-2782
Phone
(336) 997-4089
NPI assigned
Apr 26, 2020
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Cynthia Renee Simmons
Title
Owner
Phone
(336) 293-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

500 W 4TH St Ste 201F
Winston Salem, NC 27101-2782

Mailing address

500 W 4TH St Ste 101
Winston Salem, NC 27101-2782
Phone (336) 293-4800

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Premium Carellc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

102 W 3rd St
Ste 325
Winston Salem, NC 27101
Phone (336) 293-4800

500 W 4th St
Ste 101
Winston Salem, NC 27101

NPI Registry JSON

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1831719228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST STE 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012782",
            "telephone_number": "336-293-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST STE 201F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012782",
            "telephone_number": "336-997-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PREMIUM CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-26",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-293-4800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 22, 2022; 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.