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TRANQUILITY CARE OF WINSTON-SALEM LLC NPI 1700319001


NPI Information

NPI: 1700319001
Provider Name: TRANQUILITY CARE OF WINSTON-SALEM, LLC

Doing Business As: FORSYTH VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D2204548

Address:
5100 LANSING DR
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 978-3160
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TRANQUILITY CARE OF WINSTON-SALEM, LLC is an assisted living facility in Winston Salem, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. TRANQUILITY CARE OF WINSTON-SALEM, LLC NPI is 1700319001. The provider is registered as an organization entity type.
The provider Is Doing Business As Forsyth Village.

The provider's business location address is:

5100 LANSING DR
WINSTON SALEM, NC
ZIP 27105-115
Phone: (336) 978-3160

The provider's authorized official is Whitney R Martinez .
The authorized official title is Owner/administrator and has the following contact phone number (336) 244-9820.

The CLIA number assigned to this NPI record is 34D2204548 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2017 and was last updated on 6/22/2020.


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
1310400000XAssisted Living FacilityA00003053NORTH CAROLINAYes

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

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