WILSON'S CONSTANT CARE, LLC (NPI# 1821176702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821176702 |
| Entity Type | Organization |
| Organization Name | WILSON'S CONSTANT CARE, LLC |
| Other Organization Name | WILSON'S CONSTANT CARE |
| Practice Address |
1228 Highland Ave Winston Salem NC 27101-1625 |
| Practice Telephone | 3367039650 |
| Practice Fax Number | 3367039793 |
| Mailing Telephone | 3367039650 |
| Mailing Fax Number | 3367039793 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-08-23 |
| Authorized Official Name | MS. KATHERINE NABRENA WILSON (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3363913476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-034-20 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6604063 | 05 |
| Other Name | Type Code |
|---|---|
| Wilson's Constant Care | Other Name - Individual/Organization |
| Street Address |
1228 HIGHLAND AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669665279 | Wilson's Constant Care | Day Training, Developmentally Disabled Services | 1228 Highland Ave, Winston Salem, NC 27101-1625 | 2007-08-27 |
| 1588857197 | Wilson's Constant Care | Community/Behavioral Health | 1228 Highland Ave, Winston Salem, NC 27101-1625 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285950923 | Jc&g Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 400 E Sprague St, Winston Salem, NC 27127-3108 | 2010-04-19 |
| 1619110665 | Crse Advanced Placement Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1005 Kingstree Ridge Dr, Winston Salem, NC 27127-4940 | 2009-04-07 |
| 1316106289 | Arch Angels Enterprises, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 144 Retnuh Dr, Winston Salem, NC 27105-2231 | 2008-06-05 |
| 1780869503 | Crse Advanced Placement Homes Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5713 Haweswater Rd, Winston Salem, NC 27105-1458 | 2007-12-31 |
| 1194908038 | Inspirationz, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 607 Hillhaven Dr, Winston Salem, NC 27107-6223 | 2007-12-13 |
| 1982735213 | Crse Advanced Placement Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4433 Ansley Dr, Winston Salem, NC 27107-7676 | 2007-03-08 |
| 1629108873 | First Church of God In Christ Inc | Residential Treatment Facility, Emotionally Disturbed Children | 185 Saratoga St, Winston Salem, NC 27103-6313 | 2007-03-06 |
| 1295887586 | A Sure House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1265 Arbor Rd, Winston Salem, NC 27104-1105 | 2007-01-17 |
| 1891071775 | Aci Support Specialists, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4265 Brownsboro Rd, Suite 220, Winston Salem, NC 27106-3425 | 2011-10-24 |
| 1992020689 | The Children's Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2010-04-06 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.