A SURE HOUSE, INC. (NPI# 1295887586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295887586 |
| Entity Type | Organization |
| Organization Name | A SURE HOUSE, INC. |
| Practice Address |
1265 Arbor Rd Winston Salem NC 27104-1105 |
| Practice Telephone | 3367490264 |
| Practice Fax Number | 8003147553 |
| Mailing Telephone | 3367490264 |
| Mailing Fax Number | 8003147553 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | MS. PAMELA LAVETTE PHILLIPS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3367490264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-034-207 | NC | Residential Treatment Facilities |
| Street Address |
1265 ARBOR RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295921153 | A Sure House, Inc | Community/Behavioral Health | 1265 Arbor Rd, Winston Salem, NC 27104-1105 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285950923 | Jc&g Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 400 E Sprague St, Winston Salem, NC 27127-3108 | 2010-04-19 |
| 1619110665 | Crse Advanced Placement Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1005 Kingstree Ridge Dr, Winston Salem, NC 27127-4940 | 2009-04-07 |
| 1316106289 | Arch Angels Enterprises, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 144 Retnuh Dr, Winston Salem, NC 27105-2231 | 2008-06-05 |
| 1780869503 | Crse Advanced Placement Homes Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5713 Haweswater Rd, Winston Salem, NC 27105-1458 | 2007-12-31 |
| 1194908038 | Inspirationz, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 607 Hillhaven Dr, Winston Salem, NC 27107-6223 | 2007-12-13 |
| 1982735213 | Crse Advanced Placement Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4433 Ansley Dr, Winston Salem, NC 27107-7676 | 2007-03-08 |
| 1629108873 | First Church of God In Christ Inc | Residential Treatment Facility, Emotionally Disturbed Children | 185 Saratoga St, Winston Salem, NC 27103-6313 | 2007-03-06 |
| 1891071775 | Aci Support Specialists, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4265 Brownsboro Rd, Suite 220, Winston Salem, NC 27106-3425 | 2011-10-24 |
| 1992020689 | The Children's Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2010-04-06 |
| 1932232568 | The Childrens Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2007-03-13 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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| 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.