HINES FAMILY SERVICES INC (NPI# 1316578404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316578404 |
| Entity Type | Organization |
| Organization Name | HINES FAMILY SERVICES INC |
| Practice Address |
615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368 |
| Practice Telephone | 3363031263 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | DERRICK HINES (CEO) |
| Authorized Official Telephone | 4693539526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
615 SAINT GEORGE SQUARE CT STE 300 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295759538 | Alisha Beth Benner | Internal Medicine | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2006-07-27 |
| 1265054779 | Bertille Kuisso Ponkam | Health Educator | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2020-05-07 |
| 1730710328 | Counseling With A Purpose, Pllc | Clinic/Center | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2020-01-31 |
| 1629608849 | Amc Health North Carolina Inc | Durable Medical Equipment & Medical Supplies | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2020-01-16 |
| 1528607207 | Medicaid Travel, Inc. | Meals | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2019-12-30 |
| 1285132514 | Merida Amarilis Valera | Counselor | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103 | 2018-02-01 |
| 1568971083 | Gail Williams-booker | Nurse Practitioner | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2017-09-27 |
| 1255794855 | Cheri Taylor | Nurse Practitioner | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2016-03-31 |
| 1760894596 | Jordan Harrold | Social Worker | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2014-05-28 |
| 1003199928 | Felicia Patterson Washington | Nurse Practitioner | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103 | 2011-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558736066 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1716 Hawkcrest Ln, Winston Salem, NC 27127-4869 | 2015-12-09 |
| 1548411721 | Restorations Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4625 Craver Woods Ct., Winston Salem, NC 27127-8922 | 2008-10-06 |
| 1215024682 | Climbing Jacobs Ladder LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3401 Healy Dr, Suite-b, Winston Salem, NC 27103-1450 | 2006-10-06 |
| 1932215886 | J. L. Redford, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1922 Martin Luther King, Jr. Drive, Winston Salem, NC 27107-1361 | 2006-08-22 |
| 1265758916 | Wolfe & Jackson Group Home, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3913 Indiana Ave, Winston Salem, NC 27105-3410 | 2010-04-20 |
| 1013107143 | My Sister's Place Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2925 S Main St, Winston Salem, NC 27127-4006 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.