MY SISTER'S PLACE COMMUNITY SERVICES, INC. (NPI# 1013107143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013107143 |
| Entity Type | Organization |
| Organization Name | MY SISTER'S PLACE COMMUNITY SERVICES, INC. |
| Practice Address |
2925 S Main St Winston Salem NC 27127-4006 |
| Mailing Address |
908 Glencoe St Winston Salem NC 27107-3315 |
| Practice Telephone | 3367845922 |
| Practice Fax Number | 3366509516 |
| Mailing Telephone | 3367845922 |
| Mailing Fax Number | 3366509516 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOAN MARIE WHITE (CEO & EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3367845922 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417147539 | My Sister's Place Community Services, Inc. | Day Training, Developmentally Disabled Services | 2925 S Main St, Winston Salem, NC 27127-4006 | 2007-07-25 |
| 1124218243 | My Sister's Place Community Services, Inc. | Counselor | 2925 S Main St, Winston Salem, NC 27127-4006 | 2007-07-25 |
| Street Address |
2925 S MAIN ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27127-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912910415 | My Sister's Place | Counselor | 2925 S Main St, Winston Salem, NC 27127-4006 | 2006-08-14 |
| 1053564922 | Truliant Mobile Transport Inc. | Non-emergency Medical Transport (VAN) | 2925 S Main St, Winston Salem, NC 27127-4006 | 2008-10-23 |
| 1417147539 | My Sister's Place Community Services, Inc. | Day Training, Developmentally Disabled Services | 2925 S Main St, Winston Salem, NC 27127-4006 | 2007-07-25 |
| 1124218243 | My Sister's Place Community Services, Inc. | Counselor | 2925 S Main St, Winston Salem, NC 27127-4006 | 2007-07-25 |
| 1982802625 | My Sister's Place Community Services, Inc | Community/Behavioral Health | 2925 S Main St, Winston Salem, NC 27127-4006 | 2007-07-04 |
| 1013111301 | Teddy A Gandy | Personal Emergency Response Attendant | 2925 S Main St, Winston Salem, NC 27127-4006 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1326654963 | Procare Home Health, LLC | Home Health | 12133 Nc-150 Suite C, Winston-salem, NC 27127 | 2020-09-18 |
| 1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
| 1427403815 | Ramona Rorie Griffin Noble | Counselor | 1348 Westgate Center Drive Suite 202, Winston Salem, NC 27127 | 2016-05-04 |
| 1205295680 | Kia Johnson | Dentist | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 | 2016-02-15 |
| 1487030060 | Llibott Consultorios Medicos- Ws,pllc | Clinic/Center | 1145 Silas Creek Pkwy, Winston Salem, NC 27127 | 2015-08-05 |
| 1740688266 | Bonnie M. Clifton | Specialist/Technologist | 800 Salisbury Ridge Rd, Winston-salem, NC 27127 | 2014-12-16 |
| 1740606706 | Yen T Nguyen Dmd Pllc | Dentist | 2375 Brewer Road, Winston-salem, NC 27127 | 2014-03-13 |
| 1316254451 | Marquis D. Bailey | Specialist | 200 Alexander Preston Ln, Winston - Salem, NC 27127 | 2010-09-10 |
| 1093991234 | Independent Living Group Home, LLC | Custodial Care Facility | 924 Cloister Dr, Winston Salem, NC 27127 | 2008-01-17 |
| Find all providers in zip 27127 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154897239 | Elevated Family Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 128 Laura Ave, Winston Salem, NC 27105-1319 | 2018-10-16 |
| 1063898013 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 4759 Eagle Path, Winston Salem, NC 27127-6816 | 2015-07-31 |
| 1679708366 | Sharpe and Williams Family Care Home | Community Based Residential Treatment Facility, Mental Illness | 2740 New Walkertown Rd, Winston Salem, NC 27105-4818 | 2009-05-25 |
| 1013158039 | Moda Human Services L.l.c | Community Based Residential Treatment Facility, Mental Illness | 4420 Edrem Ave, Winston Salem, NC 27101-2108 | 2009-03-20 |
| 1346466539 | Transitions Group Facilities Incorporated | Community Based Residential Treatment Facility, Mental Illness | 989 Hutton St, Winston Salem, NC 27101-5715 | 2007-04-17 |
| 1275677916 | Family United Inc. | Community Based Residential Treatment Facility, Mental Illness | 117 Scotland Ridge Dr, Winston Salem, NC 27107-1877 | 2007-02-16 |
| 1730226770 | G&d Quality Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3530 Renon Rd, Winston Salem, NC 27127-5036 | 2007-01-31 |
| 1003961418 | Hosanna House of Transition | Community Based Residential Treatment Facility, Mental Illness | 717 S Marshall St, Suite 100, Winston Salem, NC 27101-5808 | 2007-01-24 |
| 1588721591 | Grandfather Home Community Services for Children | Community Based Residential Treatment Facility, Mental Illness | 5560 Sturmer Park Cir, Winston Salem, NC 27105-1372 | 2007-01-02 |
| 1669542817 | Corbin House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 400 Corbin St, Winston Salem, NC 27107-1960 | 2006-11-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27127 |
Please comment or provide details below to improve the information on MY SISTER'S PLACE COMMUNITY SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.