GRAHAM 4 ENTERPRISES (NPI# 1730703422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730703422 |
| Entity Type | Organization |
| Organization Name | GRAHAM 4 ENTERPRISES |
| Practice Address |
3006 W Sedgefield Dr Greensboro NC 27407-7313 |
| Mailing Address |
1009 Chatfield Dr Greensboro NC 27410-3807 |
| Practice Telephone | 3058018026 |
| Mailing Telephone | 3058018026 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | DR. ELYSA GRAHAM (OWNER) |
| Authorized Official Telephone | 3058018026 |
| Authorized Official Credential | DNP, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Integrity Health for Wellness | Doing Business As Name - Organization |
| Magnolia Manor @ Sedgefield | Doing Business As Name - Organization |
| Street Address |
3006 W SEDGEFIELD DR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-7313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760905178 | Changing Lives Group Home Iv, LLC | Custodial Care Facility | 1404 Cushing St, Greensboro, NC 27405-3300 | 2017-07-18 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1104222066 | A Touch From The Heart | Custodial Care Facility | 5212 Carolwood Dr, Greensboro, NC 27407-2823 | 2014-11-05 |
| 1780019513 | Burton's Home Healthcare | Custodial Care Facility | 3924 S Holden Rd Ste E, Greensboro, NC 27406-8866 | 2013-09-11 |
| 1700169695 | Positive Connection Care, Inc. | Custodial Care Facility | 612 Pasteur Dr Ste 203, Greensboro, NC 27403-1120 | 2011-09-27 |
| 1104057561 | A Better Life Christian Family Care, LLC | Custodial Care Facility | 1030 Alamance Ct, Greensboro, NC 27406-3806 | 2009-08-04 |
| 1982882627 | Umar Services, Inc | Custodial Care Facility | 1801 Westridge Rd, Greensboro, NC 27410-2423 | 2008-02-05 |
| 1750569414 | Umar Services, Inc | Custodial Care Facility | 722 Muirs Chapel Rd, Greensboro, NC 27410-4227 | 2008-02-05 |
| 1841470986 | Good Shepherd Family Care Home, LLC | Custodial Care Facility | 2810 Fleming Road, Greensboro, NC 27410 | 2007-11-06 |
| 1760670574 | Haven Group Homes | Custodial Care Facility | 3207 O' Henry Blvd N, Greensboro, NC 27405-3807 | 2007-10-05 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
Please comment or provide details below to improve the information on GRAHAM 4 ENTERPRISES.
| 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.