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FORSYTH VILLAGE NPI 1801952643


NPI Information

NPI: 1801952643
Provider Name: FORSYTH VILLAGE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5100 LANSING DR
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 661-0850
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FORSYTH VILLAGE 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. FORSYTH VILLAGE NPI is 1801952643. The provider is registered as an organization entity type.

The provider's business location address is:

5100 LANSING DR
WINSTON SALEM, NC
ZIP 27105-115
Phone: (336) 661-0850
Fax: (336) 661-0945

The provider's authorized official is Jerry Chapman .
The authorized official title is Owner and has the following contact phone number (336) 661-0850.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


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 FacilityHAL-034-002NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17804769MEDICAIDNORTH CAROLINA

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.