Wynmere Place
LBN: Youth Enrichment Group Home, Inc.
Wynmere Place is an health care organization with primary practice located at 203 Hammond Dr , Greensboro NC 27406-8149. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty.
Youth Enrichment Group Home, Inc. can be contacted via phone (336) 389-1913, or through Sweet, Devolia Pratt via phone (336) 382-6658.
Contact Information
Primary practice address
203 Hammond Dr
Greensboro NC 27406-8149
Phone: (336) 389-1913
Fax: (877) 846-8962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL-041-658 | North Carolina |
Profile Details
| NPI number | 1528119096 |
|---|---|
| LBN Legal business name | Youth Enrichment Group Home, Inc. |
| DBA Doing business as | Wynmere Place |
| Authorized official | Sweet, Devolia Pratt |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jun 4th, 2019 - about 5 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 | 1528119096 | NPPES |
| North Carolina | MEDICAID | 6603440 |
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