IT TAKES A VILLAGE RESIDENTIAL CARE LLC


Address: 5008 Butterfield Dr, Winston Salem, NC 27105-3344
Phone: 3366082819

IT TAKES A VILLAGE RESIDENTIAL CARE LLC (NPI# 1407489529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407489529
Entity Type Organization
Organization Name IT TAKES A VILLAGE RESIDENTIAL CARE LLC
Practice Address 5008 Butterfield Dr
Winston Salem
NC 27105-3344
Practice Telephone 3366082819
Mailing Telephone 3366082819
Enumeration Date 2020-02-17
Last Update Date 2020-02-17
Authorized Official Name CHAQUILLE JACKSON (CEO)
Authorized Official Telephone 3366082819
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities
N 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC NA 05

Office Location

Street Address 5008 BUTTERFIELD DR
City WINSTON SALEM
State NC
Zip Code 27105-3344

Providers in the same zip code

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 Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City WINSTON SALEM
Zip Code 27105

Improve Information

Please comment or provide details below to improve the information on IT TAKES A VILLAGE RESIDENTIAL CARE LLC.

Dataset Information

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.

Trending Searches