THE CHILDREN'S HOME, INC (NPI# 1952537631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952537631 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S HOME, INC |
| Other Organization Name | TISE COTTAGE |
| Practice Address |
1001 Reynolda Road Winston Salem NC 27104-3254 |
| Practice Telephone | 3367217600 |
| Practice Fax Number | 3367284355 |
| Mailing Telephone | 3367217600 |
| Mailing Fax Number | 3367284355 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |
| Authorized Official Name | MR. GEORGE M BRYAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 3367217600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL034242 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC DHHS | MHL034242 | 01 |
| Other Name | Type Code |
|---|---|
| Tise Cottage | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992020689 | The Children's Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2010-04-06 |
| 1497817365 | The Children's Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-15 |
| 1154482750 | The Children's Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1508899071 | The Children's Home, Inc | Social Worker | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-07-08 |
| Street Address |
1001 REYNOLDA ROAD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3254 |
| 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 | 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 |
| 1023272663 | Wolfe & Jackson Family Care Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3913 Indiana Ave, Winston Salem, NC 27105-3410 | 2008-07-14 |
| 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.