Grace Healthcare Of Winston Salem
LBN: Winston Salem Healthcare Llc
Grace Healthcare Of Winston Salem is an health care organization with primary practice located at 1900 W 1St St , Winston Salem NC 27104-4220. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Winston Salem Healthcare Llc can be contacted via phone (336) 724-2821, or through Clark Danks, Alice Marie via phone (423) 308-1845.
Contact Information
Primary practice address
1900 W 1St St
Winston Salem NC 27104-4220
Phone: (336) 724-2821
Fax: (336) 725-8314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 923570 | North Carolina |
Profile Details
| NPI number | 1417137340 |
|---|---|
| LBN Legal business name | Winston Salem Healthcare Llc |
| DBA Doing business as | Grace Healthcare Of Winston Salem |
| Authorized official | Clark Danks, Alice Marie CPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Jun 9th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417137340 | NPPES |
| North Carolina | MEDICAID | 3416540 | |
| North Carolina | MEDICAID | 0345092 |
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