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
Fax: (336) 725-8314
Website:
Authorized official contact:
Name: Clark Danks, Alice Marie CPA

Health care specialties

SpecialtyCodeLicense #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 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417137340 NPPES
North Carolina MEDICAID 3416540
North Carolina MEDICAID 0345092

Popular Providers