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SPRINGWELL NETWORK INC. NPI 1215028246


NPI Information

NPI: 1215028246
Provider Name: SPRINGWELL NETWORK, INC.

Former Legal Business Name: GROUP HOMES OF FORSYTH, INC.

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
3830 EBERT STREET
WINSTON SALEM, NC
ZIP 27127
Phone: (336) 785-2635
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SPRINGWELL NETWORK, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Winston Salem, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SPRINGWELL NETWORK, INC. NPI is 1215028246. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Group Homes Of Forsyth, Inc..

The provider's business location address is:

3830 EBERT STREET
WINSTON SALEM, NC
ZIP 27127-742
Phone: (336) 785-2635
Fax: (336) 831-1314

The provider's authorized official is Charlene Warren .
The authorized official title is Executive Director and has the following contact phone number (336) 831-1300.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 2/19/2018.


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
1251S00000XCommunity/Behavioral HealthMHL-034-361NORTH CAROLINANo
2311ZA0620XCustodial Care FacilityAdult Care HomeMHL-034-361NORTH CAROLINANo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL034150NORTH CAROLINANo
4320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-034-361NORTH 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
17804420MEDICAIDNORTH 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: 11/14/2023

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