WILLIAM BELL GROUP HOME FOR BOYS (NPI# 1205984622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205984622 |
| Entity Type | Organization |
| Organization Name | WILLIAM BELL GROUP HOME FOR BOYS |
| Practice Address |
3641 Evanston Way Winston Salem NC 27107-2001 |
| Mailing Address |
250 Parkwood Ct Winston Salem NC 27105-3531 |
| Practice Telephone | 3367848391 |
| Mailing Telephone | 3367674071 |
| Mailing Fax Number | 3367674071 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BEVERLY BELL WILLIAMS (OWNER) |
| Authorized Official Telephone | 3367674071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-034-204 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972726677 | William Bell Group Home for Boys | Community/Behavioral Health | 3641 Evanston Way, Winston Salem, NC 27107-2001 | 2007-04-11 |
| 1225159452 | William Bell Group Home for Boys | Community Based Residential Treatment Facility, Mental Illness | 3641 Evanston Way, Winston Salem, NC 27107-2001 | 2007-04-03 |
| Street Address |
3641 EVANSTON WAY |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27107-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972726677 | William Bell Group Home for Boys | Community/Behavioral Health | 3641 Evanston Way, Winston Salem, NC 27107-2001 | 2007-04-11 |
| 1225159452 | William Bell Group Home for Boys | Community Based Residential Treatment Facility, Mental Illness | 3641 Evanston Way, Winston Salem, NC 27107-2001 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1629212501 | Benicia Elaine Cleveland | Specialist/Technologist | 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 | 2009-04-23 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| 1336242973 | North Carolina Cvs Pharmacy LLC | Pharmacy | 10478 N Nc Hwy 109, Wallburg, NC 27107 | 2006-09-07 |
| 1154816312 | Janel Rebecca Durham | Nurse Practitioner | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107 | 2018-06-28 |
| 1861929523 | Southside United Health Centers | Social Worker | 3009 Waughtown St, Winston Salem, NC 27107 | 2017-05-12 |
| 1407011398 | Ashley Rose Hill | Nurse Practitioner | 648 East Monmouth Street, Winston Salem, NC 27107 | 2008-07-21 |
| 1518157247 | Ellen R. Robinson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2007-07-30 |
| Find all providers in zip 27107 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1295237519 | Noa Human Services LLC 4 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4328 Stokesdale Ave, Winston Salem, NC 27101-2340 | 2018-03-02 |
| 1568986800 | Top Priority Care Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4625 Stanley Ct, Winston Salem, NC 27101 | 2017-07-28 |
| 1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
| 1467820142 | Top Priority Care Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4633 Tobacco St, Winston Salem, NC 27106 | 2015-09-11 |
| 1669849873 | House of Luv | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3203 Meadow Ln, Winston Salem, NC 27107-3611 | 2015-08-24 |
| 1700293883 | Endwell Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4403 Paula Dr, Winston Salem, NC 27127-6835 | 2014-07-21 |
| 1487095709 | Noa Human Services #2 LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3801 Palmira Trl, Winston Salem, NC 27127-5841 | 2013-07-15 |
| 1356646384 | Dana Morrison | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2706 Thomasville Rd, Winston Salem, NC 27107-3353 | 2011-01-23 |
| 1952537631 | The Children's Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1001 Reynolda Road, Winston Salem, NC 27104-3254 | 2009-06-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27107 |
Please comment or provide details below to improve the information on WILLIAM BELL GROUP HOME FOR BOYS.
| 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.