Whit Raven Family Home Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WHIT RAVEN FAMILY HOME CARE

Practice address

203 Snead Rd
Winston Salem, NC 27103-6830

Phone

(336) 293-6664

NPI assigned

Oct 7, 2025

Last updated

Jun 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roderick Gist

Title

Owner/Operator

Phone

(336) 287-8789

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1841165198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SNEAD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036830",
            "telephone_number": "336-293-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SNEAD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036830",
            "telephone_number": "336-293-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIT RAVEN FAMILY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "336-287-8789"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Davis Whicker, MA, LPCS
• Elizabeth Sloop Whicker
• Jana Whicker
• Sheila Shelton Whisenant, LCMHC
• Charles Jourdan Whisnant, PHARMD
• Audrey Blaire Whitaker, NP
• Erin Rebecca Whitaker
• Holly D Whitaker
• Samuel Harrison Whitaker, RN
• Amy M White

• Adult Care Home Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.