THE CHILDREN'S HOME (NPI# 1770644379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770644379 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S HOME |
| Other Organization Name | DAY TREATMENT |
| Practice Address |
1001 Reynolda Rd Winston Salem NC 27104-3245 |
| Practice Telephone | 3367217600 |
| Practice Fax Number | 3367284355 |
| Mailing Telephone | 3367217600 |
| Mailing Fax Number | 3367284355 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | GEORGE M BRYAN JR. (CEO) |
| Authorized Official Telephone | 3367217600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL056015 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301029 | 05 | |
| NC | 8301029R | 05 |
| Other Name | Type Code |
|---|---|
| Day Treatment | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710216163 | The Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2009-12-14 |
| 1336311182 | The Children's Home | Community/Behavioral Health | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2008-04-01 |
| 1841351442 | The Children's Home | Community/Behavioral Health | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1750442356 | The Children's Home | Community/Behavioral Health | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1861553463 | The Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1972664571 | The Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1124189485 | The Children's Home | Community/Behavioral Health | 827 Wiley Brown Rd, Franklin, NC 28734-1000 | 2006-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | THE CHILDREN'S HOME OF VIRGINIA BAPTIST INC. | 6900 Hickory Rd, Petersburg, Virginia 23803 |
| Street Address |
1001 REYNOLDA RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024547 | Deanna La | Social Worker | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2020-05-17 |
| 1053968255 | Marysabel Vasquez | Marriage & Family Therapist | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-08-22 |
| 1013560309 | Kristina Lamb Beck | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-07-17 |
| 1013571983 | Teyara Neshele Hudson | Social Worker | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-04-26 |
| 1538626544 | Ashley Hamby | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-02-26 |
| 1912473356 | Rachel Tegowski | Marriage & Family Therapist | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2018-10-23 |
| 1538677356 | Weston Edward Smith | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2018-01-15 |
| 1376098699 | Karen Arthur | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2016-08-16 |
| 1386197002 | Heather Dunleavy | Marriage & Family Therapist | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2016-07-28 |
| 1700261237 | Nelitza Delisse Gonzalez | Counselor | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2015-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| 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 |
| 1306362017 | The Gracen Foundation | Community/Behavioral Health | 1140 Old Hollow Rd, Winston Salem, NC 27105-8709 | 2017-08-15 |
| 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 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.