SPRINGWELL NETWORK, INC. (NPI# 1053402099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053402099 |
| Entity Type | Organization |
| Organization Name | SPRINGWELL NETWORK, INC. |
| Other Organization Name | GROUP HOMES OF FORSYTH, INC. |
| Practice Address |
2001independence Road Winston Salem NC 27106-2411 |
| Mailing Address |
3820 North Patterson Avenue Winston Salem NC 27105 |
| Practice Telephone | 3369240136 |
| Practice Fax Number | 3368311314 |
| Mailing Telephone | 3368311300 |
| Mailing Fax Number | 3368311314 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-02-19 |
| Authorized Official Name | MS. CHARLENE WARREN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3368311300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | MHL-034-363 | NC | Agencies |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-034-363 | NC | Nursing & Custodial Care Facilities |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL034151 | NC | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-034-363 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804417 | 05 |
| Other Name | Type Code |
|---|---|
| Group Homes of Forsyth, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427137017 | Springwell Network, Inc. | Case Management | 3820 North Patterson Avenue, Winston Salem, NC 27105-3140 | 2006-11-03 |
| 1043308612 | Springwell Network, Inc. | Community/Behavioral Health | 3250 Stockton Street, Winston Salem, NC 27127-4843 | 2006-10-10 |
| 1528159563 | Springwell Network, Inc. | Community/Behavioral Health | 100 Mcgee Ct, King, NC 27021-9531 | 2006-09-27 |
| 1215028246 | Springwell Network, Inc. | Community/Behavioral Health | 3830 Ebert Street, Winston Salem, NC 27127-5742 | 2006-09-27 |
| 1083705032 | Springwell Network, Inc. | Community/Behavioral Health | 460 Raven Ridge Rd, Kernersville, NC 27284-8046 | 2006-09-27 |
| 1124119177 | Springwell Network, Inc. | Community/Behavioral Health | 5130 Pressman Drive, Winston Salem, NC 27105-3140 | 2006-09-27 |
| 1427149434 | Springwell Network, Inc. | Custodial Care Facility | 2588 Brandywine Road, Winston Salem, NC 27103-6602 | 2006-09-27 |
| Street Address |
2001INDEPENDENCE ROAD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1295237519 | Noa Human Services LLC 4 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4328 Stokesdale Ave, Winston Salem, NC 27101-2340 | 2018-03-02 |
| 1568986800 | Top Priority Care Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4625 Stanley Ct, Winston Salem, NC 27101 | 2017-07-28 |
| 1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
| 1467820142 | Top Priority Care Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4633 Tobacco St, Winston Salem, NC 27106 | 2015-09-11 |
| 1669849873 | House of Luv | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3203 Meadow Ln, Winston Salem, NC 27107-3611 | 2015-08-24 |
| 1700293883 | Endwell Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4403 Paula Dr, Winston Salem, NC 27127-6835 | 2014-07-21 |
| 1487095709 | Noa Human Services #2 LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3801 Palmira Trl, Winston Salem, NC 27127-5841 | 2013-07-15 |
| 1356646384 | Dana Morrison | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2706 Thomasville Rd, Winston Salem, NC 27107-3353 | 2011-01-23 |
| 1952537631 | The Children's Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1001 Reynolda Road, Winston Salem, NC 27104-3254 | 2009-06-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.