Provider Type Icon

C&W ALTERNATIVE FAMILY LIVING FACILITY INC. NPI 1528188232


NPI Information

NPI: 1528188232
Provider Name: C&W ALTERNATIVE FAMILY LIVING FACILITY, INC.
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
3365 NEW WALKERTOWN RD
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 723-3829
Get Directions

C&W ALTERNATIVE FAMILY LIVING FACILITY, INC. is an intermediate care facility mental illness in Winston Salem, NC. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. C&W ALTERNATIVE FAMILY LIVING FACILITY, INC. NPI is 1528188232. The provider is registered as an organization entity type.

The provider's business location address is:

3365 NEW WALKERTOWN RD
WINSTON SALEM, NC
ZIP 27105-160
Phone: (336) 723-3829
Fax: (336) 723-3829

The provider's authorized official is Marshall Elmore .
The authorized official title is Administrator and has the following contact phone number (336) 723-3829.

The enumeration date for this NPI number is 3/29/2007 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
1310500000XIntermediate Care Facility, Mental IllnessMHL- 034-160NORTH 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
18301339MEDICAIDNORTH 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

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.