COMMUNITY CARE CENTER (NPI# 1902195761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902195761 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CENTER |
| Other Organization Name | MED-AID FORSYTH STOKES DAVIE |
| Practice Address |
1900 S Hawthorne Rd Suite 564 Winston Salem NC 27103-3913 |
| Practice Telephone | 3367142361 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | JAMES TURNER ROBINSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3367601235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC PHARMACY PERMIT | 10119 | 01 |
| Other Name | Type Code |
|---|---|
| Med-Aid Forsyth Stokes Davie | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083664304 | Community Care Center | Skilled Nursing Facility | 4314 S Wabash Ave, Chicago, IL 60653-3119 | 2006-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY CARE CENTER | 2335 S Mountain Ave, Duarte, CA 91010-3559 |
| Iowa Business Entities | COMMUNITY CARE CENTER FOUNDATION | 325 Sw 7th Street, Stuart, IA 50250 |
| System for Award Management (SAM) Entities | COMMUNITY CARE CENTER INC. | 1080 Old Collard Valley Rd, Aragon, GA 30104-2042 |
| Iowa Business Entities | COMMUNITY CARE CENTER, INC. | 325 Sw 7th St, Stuart, IA 50250 |
| Street Address |
1900 S HAWTHORNE RD SUITE 564 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483689 | Thomas Paul Mutton | Specialist | 1900 S Hawthorne Rd, Suite 480, Winston Salem, NC 27103-3913 | 2005-08-02 |
| 1730564691 | Mary Lomberk | Pharmacist | 1900 S Hawthorne Rd, Suite 504, Winston Salem, NC 27103-3913 | 2015-07-21 |
| 1861870198 | Janelle Fitzjohn | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2015-05-06 |
| 1447672639 | Jennifer Bailiff | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2014-01-08 |
| 1669806477 | Alice Christine Smith | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2013-08-28 |
| 1376976043 | Novant Medical Group Inc | Surgery | 1900 S Hawthorne Rd, Suite 480, Winston Salem, NC 27103-3913 | 2013-08-16 |
| 1033418710 | Delip Vikram Patel | Radiology | 1900 S Hawthorne Rd, Winston Salem, NC 27103-3913 | 2011-03-21 |
| 1720228158 | Novant Medical Group Inc | Internal Medicine | 1900 S Hawthorne Rd, Suite 652, Winston Salem, NC 27103-3901 | 2009-02-25 |
| 1881841856 | Cutaneous Pathology, P.a. | Pathology | 1900 S Hawthorne Rd, Suite 366, Winston Salem, NC 27103-3913 | 2008-08-21 |
| 1740447465 | Edward G. Burnett Jr. D.d.s.,p.a. | Clinic/Center | 1900 S Hawthorne Rd, Ste 552, Winston Salem, NC 27103-3913 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851026 | Innovative Pathways, Inc | Voluntary or Charitable | 3969 Creekmoore Dr, Winston Salem, NC 27101-2274 | 2015-09-16 |
| 1245505379 | Latch Key, Inc | Voluntary or Charitable | 4401 Cherry St, Ste 60, Winston Salem, NC 27105-2500 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798709 | Medication Engagement Reward Initiative | Voluntary or Charitable | 2274 Winthrop Chase Dr, Charlotte, NC 28212-8595 | 2020-01-03 |
| 1588168462 | Pitt County Community Collaborative On Mental Health and Substance Abu | Voluntary or Charitable | 1913 Turnbury Dr, Greenville, NC 27858-6168 | 2018-03-23 |
| 1932628989 | Reanimations | Voluntary or Charitable | 8501 Tower Point Dr Ste B-8, Charlotte, NC 28227-7849 | 2017-09-11 |
| 1871036632 | Healing Springs Farmacy Inc | Voluntary or Charitable | 1300 Ashe St, Greensboro, NC 27406-2214 | 2016-11-28 |
| 1679021018 | Atlantic Life Safety & Emergency Services, Inc. | Voluntary or Charitable | 3348 Starboard Way, Suite 3, Fayetteville, NC 28314 | 2016-09-14 |
| 1386198877 | Illumination Foundation of North Carolina | Voluntary or Charitable | 2540 Annecy Dr, Matthews, NC 28105-2323 | 2016-08-12 |
| 1336592690 | American Red Cross | Voluntary or Charitable | 4737 University Dr, Building 3, Durham, NC 27707-3460 | 2016-07-21 |
| 1437512050 | Invisible Bridges | Voluntary or Charitable | 11723 Sweetbriar Ridge Drive, Charlotte, NC 28269 | 2016-03-31 |
| 1306202155 | Samara's Village, Inc | Voluntary or Charitable | 5098 Capstan Ct, Southport, NC 28461-2203 | 2016-01-10 |
| 1649640590 | Dr Daves Companies, Corp | Voluntary or Charitable | 204 Morayshire Ct, Holly Springs, NC 27540-5597 | 2015-10-05 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on COMMUNITY CARE CENTER.
| 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.