JC&G GROUP HOMES, LLC (NPI# 1285950923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285950923 |
| Entity Type | Organization |
| Organization Name | JC&G GROUP HOMES, LLC |
| Practice Address |
400 E Sprague St Winston Salem NC 27127-3108 |
| Practice Telephone | 3366825130 |
| Practice Fax Number | 3364992634 |
| Mailing Telephone | 3366825130 |
| Mailing Fax Number | 3364992634 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | MR. SELVYN LLOYD JORDAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3366825130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | NC | Residential Treatment Facilities |
| Street Address |
400 E SPRAGUE ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27127-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1326654963 | Procare Home Health, LLC | Home Health | 12133 Nc-150 Suite C, Winston-salem, NC 27127 | 2020-09-18 |
| 1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
| 1427403815 | Ramona Rorie Griffin Noble | Counselor | 1348 Westgate Center Drive Suite 202, Winston Salem, NC 27127 | 2016-05-04 |
| 1205295680 | Kia Johnson | Dentist | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 | 2016-02-15 |
| 1487030060 | Llibott Consultorios Medicos- Ws,pllc | Clinic/Center | 1145 Silas Creek Pkwy, Winston Salem, NC 27127 | 2015-08-05 |
| 1740688266 | Bonnie M. Clifton | Specialist/Technologist | 800 Salisbury Ridge Rd, Winston-salem, NC 27127 | 2014-12-16 |
| 1740606706 | Yen T Nguyen Dmd Pllc | Dentist | 2375 Brewer Road, Winston-salem, NC 27127 | 2014-03-13 |
| 1316254451 | Marquis D. Bailey | Specialist | 200 Alexander Preston Ln, Winston - Salem, NC 27127 | 2010-09-10 |
| 1093991234 | Independent Living Group Home, LLC | Custodial Care Facility | 924 Cloister Dr, Winston Salem, NC 27127 | 2008-01-17 |
| Find all providers in zip 27127 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619110665 | Crse Advanced Placement Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1005 Kingstree Ridge Dr, Winston Salem, NC 27127-4940 | 2009-04-07 |
| 1316106289 | Arch Angels Enterprises, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 144 Retnuh Dr, Winston Salem, NC 27105-2231 | 2008-06-05 |
| 1780869503 | Crse Advanced Placement Homes Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5713 Haweswater Rd, Winston Salem, NC 27105-1458 | 2007-12-31 |
| 1194908038 | Inspirationz, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 607 Hillhaven Dr, Winston Salem, NC 27107-6223 | 2007-12-13 |
| 1982735213 | Crse Advanced Placement Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4433 Ansley Dr, Winston Salem, NC 27107-7676 | 2007-03-08 |
| 1629108873 | First Church of God In Christ Inc | Residential Treatment Facility, Emotionally Disturbed Children | 185 Saratoga St, Winston Salem, NC 27103-6313 | 2007-03-06 |
| 1295887586 | A Sure House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1265 Arbor Rd, Winston Salem, NC 27104-1105 | 2007-01-17 |
| 1891071775 | Aci Support Specialists, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4265 Brownsboro Rd, Suite 220, Winston Salem, NC 27106-3425 | 2011-10-24 |
| 1992020689 | The Children's Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2010-04-06 |
| 1932232568 | The Childrens Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2007-03-13 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27127 |
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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.