My Sister'S Place Community Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MY SISTER'S PLACE COMMUNITY SERVICES, INC

Practice address

2925 S Main St
Winston Salem, NC 27127-4006

Phone

(336) 784-5922

Fax

(336) 650-9516

NPI assigned

Jul 4, 2007

Organization subpart

No

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

Authorized official

Name

Joan Marie White

Title

Ceo & Executive Director

Phone

(336) 784-5922

Specialties & licenses 1

Addresses

Tax ID family

My Sister'S Place Community Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• My Sister'S Place Community Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Winston Salem, NC
  • NPI 1013107143
  NPD tax ID
• My Sister'S Place Community Services, Inc.

  • Counselor
  • Winston Salem, NC
  • NPI 1124218243
  NPD tax ID
• My Sister'S Place Community Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Winston Salem, NC
  • NPI 1417147539
  NPD tax ID

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982802625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 GLENCOE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271073315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 S MAIN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274006",
            "telephone_number": "336-784-5922",
            "fax_number": "336-650-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SISTER'S PLACE COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-784-5922"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Paul Mutton, M.D.
• Bilal Muzaffar, MD
• Ruth Muze, RN PHD
• My Grands Care Solution LLC
• My Sister'S Place
• My Sister'S Place Community Services, Inc.
• My Sister'S Place Community Services, Inc.
• My Sister'S Place Community Services, Inc.
• Jennifer Alicia Myers-Cassidy, FNP-BC
• Amy Caroline Myers, NNP

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.