KINDRED HEARTS ADULT CARE HOME (NPI# 1780889022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780889022 |
| Entity Type | Organization |
| Organization Name | KINDRED HEARTS ADULT CARE HOME |
| Other Organization Name | KINDRED HEARTS FAMILY CARE HOME |
| Practice Address |
3171 Carver School Rd Winston Salem NC 27105-4750 |
| Practice Telephone | 3367226919 |
| Practice Fax Number | 3367039086 |
| Mailing Telephone | 3367226919 |
| Mailing Fax Number | 3367039086 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | MRS. VELMA HINES FOSTER (ASSISTED LIVING ADMINISTRATOR) |
| Authorized Official Telephone | 3367226916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-034-064 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| kindred hearts family care home | Other Name - Individual/Organization |
| Street Address |
3171 CARVER SCHOOL RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27105-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245357052 | Velma Hines Foster | Custodial Care Facility | 3171 Carver School Rd, Winston Salem, NC 27105-4750 | 2007-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
| 1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
| 1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
| 1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
| 1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
| 1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
| 1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
| 1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
| 1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
| Find all providers in zip 27105 | ||||
| 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 |
|---|---|---|---|---|
| 1558661173 | W.e.s. Home Care | Custodial Care Facility | 1288 Cloister Dr, Winston Salem, NC 27127-5608 | 2010-10-29 |
| 1912172198 | Hines Good Samaritan Home | Custodial Care Facility | 2317 Elbon Dr, Winston Salem, NC 27105-5649 | 2008-04-28 |
| 1093991234 | Independent Living Group Home, LLC | Custodial Care Facility | 924 Cloister Dr, Winston Salem, NC 27127 | 2008-01-17 |
| 1245357052 | Velma Hines Foster | Custodial Care Facility | 3171 Carver School Rd, Winston Salem, NC 27105-4750 | 2007-03-25 |
| 1255456380 | Margaretta Hines Moore | Custodial Care Facility | 2224 Manchester St, Winston Salem, NC 27105-5536 | 2007-03-20 |
| 1457476913 | Wolfe & Jackson Family Care Home | Custodial Care Facility | 744 East Sprague Street, Winston Salem, NC 27107-3246 | 2007-03-20 |
| 1427149434 | Springwell Network, Inc. | Custodial Care Facility | 2588 Brandywine Road, Winston Salem, NC 27103-6602 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27105 |
Please comment or provide details below to improve the information on KINDRED HEARTS ADULT CARE HOME.
| 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.