THE GRACEN FOUNDATION (NPI# 1306362017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306362017 |
| Entity Type | Organization |
| Organization Name | THE GRACEN FOUNDATION |
| Practice Address |
1140 Old Hollow Rd Winston Salem NC 27105-8709 |
| Mailing Address |
1856 Old Hollow Rd Walkertown NC 27051-9716 |
| Practice Telephone | 3367676535 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | MR. JULIAN BELTON (FOUNDER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3365757582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1140 OLD HOLLOW RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27105-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
| 1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
| 1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
| 1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
| 1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
| 1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
| 1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
| 1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
| 1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
| Find all providers in zip 27105 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489529 | It Takes A Village Residential Care LLC | Community/Behavioral Health | 5008 Butterfield Dr, Winston Salem, NC 27105-3344 | 2020-02-17 |
| 1265070890 | Monarch | Community/Behavioral Health | 2680 Grosvenor Pl Apt 1, Winston Salem, NC 27106-5244 | 2019-12-13 |
| 1457810491 | Marilyn Marie Holder | Community/Behavioral Health | 3215 Linda Cir, Winston Salem, NC 27106-3023 | 2019-03-19 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| 1962940601 | Kenya Thornton | Community/Behavioral Health | 1225 East 5th, Suite 100, Winston Salem, NC 27101 | 2017-02-02 |
| 1881076446 | Monarch | Community/Behavioral Health | 967 Salisbury Ridge Rd, Winston Salem, NC 27127-3709 | 2015-06-19 |
| 1487032249 | Monarch | Community/Behavioral Health | 2844 Reynolda Rd, Winston Salem, NC 27106-3102 | 2015-05-13 |
| 1467839696 | Aria Health LLC | Community/Behavioral Health | 5312 Summit Heights Dr, Winston Salem, NC 27104-4479 | 2015-04-27 |
| 1194128629 | Valerie Benton Center | Community/Behavioral Health | 8 W 3rd St Ste 220, Winston Salem, NC 27101-3977 | 2014-09-29 |
| 1679975353 | Wescare Professional Services, LLC. | Community/Behavioral Health | 236 Mctavish Ln, Winston Salem, NC 27103 | 2014-09-24 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27105 |
Please comment or provide details below to improve the information on THE GRACEN FOUNDATION.
| 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.