GRANDFATHER HOME COMMUNITY SERVICES FOR CHILDREN (NPI# 1588721591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588721591 |
| Entity Type | Organization |
| Organization Name | GRANDFATHER HOME COMMUNITY SERVICES FOR CHILDREN |
| Practice Address |
5560 Sturmer Park Cir Winston Salem NC 27105-1372 |
| Mailing Address |
Po Box 98 Banner Elk NC 28604-0098 |
| Practice Telephone | 8288985465 |
| Practice Fax Number | 8288988513 |
| Mailing Telephone | 8288985465 |
| Mailing Fax Number | 8288988513 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-02-22 |
| Authorized Official Name | MR. JIM SWINKOLA (CEO) |
| Authorized Official Telephone | 8288985465 |
| Authorized Official Credential | MBA, MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-034-015 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603668 | 05 |
| Street Address |
5560 STURMER PARK CIR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27105-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063645919 | Schools for Children | Community/Behavioral Health | 5560 Sturmer Park Cir, Winston Salem, NC 27105-1372 | 2009-08-26 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154897239 | Elevated Family Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 128 Laura Ave, Winston Salem, NC 27105-1319 | 2018-10-16 |
| 1063898013 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 4759 Eagle Path, Winston Salem, NC 27127-6816 | 2015-07-31 |
| 1679708366 | Sharpe and Williams Family Care Home | Community Based Residential Treatment Facility, Mental Illness | 2740 New Walkertown Rd, Winston Salem, NC 27105-4818 | 2009-05-25 |
| 1013158039 | Moda Human Services L.l.c | Community Based Residential Treatment Facility, Mental Illness | 4420 Edrem Ave, Winston Salem, NC 27101-2108 | 2009-03-20 |
| 1346466539 | Transitions Group Facilities Incorporated | Community Based Residential Treatment Facility, Mental Illness | 989 Hutton St, Winston Salem, NC 27101-5715 | 2007-04-17 |
| 1275677916 | Family United Inc. | Community Based Residential Treatment Facility, Mental Illness | 117 Scotland Ridge Dr, Winston Salem, NC 27107-1877 | 2007-02-16 |
| 1730226770 | G&d Quality Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3530 Renon Rd, Winston Salem, NC 27127-5036 | 2007-01-31 |
| 1003961418 | Hosanna House of Transition | Community Based Residential Treatment Facility, Mental Illness | 717 S Marshall St, Suite 100, Winston Salem, NC 27101-5808 | 2007-01-24 |
| 1669542817 | Corbin House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 400 Corbin St, Winston Salem, NC 27107-1960 | 2006-11-08 |
| 1225483068 | Endwell Homes 2 | Community Based Residential Treatment Facility, Mental Illness | 4403 Paula Dr, Winston Salem, NC 27127-6835 | 2016-04-29 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27105 |
Please comment or provide details below to improve the information on GRANDFATHER HOME COMMUNITY SERVICES FOR CHILDREN.
| 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.