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DEREK'S PLACE 2 NPI 1043978331


NPI Information

NPI: 1043978331
Provider Name: DEREK'S PLACE 2
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
8025 N POINT BLVD STE 265
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 575-4463
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DEREK'S PLACE 2 is a home health in Winston Salem, NC. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. DEREK'S PLACE 2 NPI is 1043978331. The provider is registered as an organization entity type.

The provider's business location address is:

8025 N POINT BLVD STE 265
WINSTON SALEM, NC
ZIP 27106-859
Phone: (336) 575-4463

The provider's authorized official is Eric Hairston .
The authorized official title is Administrator and has the following contact phone number (336) 726-4309.

The enumeration date for this NPI number is 12/3/2021 and was last updated on 2/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareNo
2343900000XNon-emergency Medical Transport (VAN)No
3251C00000XDay Training, Developmentally Disabled ServicesNo
4251J00000XNursing CareNo
5251S00000XCommunity/Behavioral HealthNo
6251E00000XHome HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.