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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NA | 05 |
| Street Address |
5008 BUTTERFIELD DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27105-3344 |
| 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 | 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 | 27105 |
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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.