Forsyth Village

LBN: Forsyth Village
Forsyth Village is an health care organization with primary practice located at 5100 Lansing Dr , Winston Salem NC 27105-3115. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Forsyth Village can be contacted via phone (336) 661-0850, or through Chapman, Jerry via phone (336) 661-0850.

Contact Information

Primary practice address
5100 Lansing Dr Winston Salem NC 27105-3115
Phone: (336) 661-0850
Fax: (336) 661-0945
Website:
Map and Directions
Authorized official contact:
Name: Chapman, Jerry
Phone: (336) 661-0850

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-034-002 North Carolina

Profile Details

NPI number 1801952643
LBN Legal business name Forsyth Village
DBA Doing business as
Authorized official Chapman, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801952643 NPPES
North Carolina MEDICAID 7804769

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