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DEREK'S PLACE
NPI 1033651070
Home Health in Winston Salem, NC

Active since November 08, 2016
150 SECRET GARDEN LN, APT 1, WINSTON SALEM, NC 27104(336) 671-3046 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek's Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK'S PLACE (NPI 1033651070) is a healthcare organization registered as a home health in Winston Salem, North Carolina and active in the NPI registry since November 2016. The organization lists Eric Hairston, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1033651070
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDEREK'S PLACE
Location Address150 SECRET GARDEN LN, APT 1Winston Salem, NC 27104-4721
Mailing Address150 Secret Garden Ln, Apt 1Winston Salem, NC 27104-4721 · (336) 671-3046
Phone(336) 671-3046
Organization SubpartNo
Authorized OfficialEric HairstonExecutive Administrator · (336) 671-3046
Enumeration DateNovember 8, 2016
✔ NPI 1033651070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
150 SECRET GARDEN LN, Winston Salem, NC 27104
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek's Place's NPI number?

The NPI number for Derek's Place is 1033651070. It was assigned to this organization in the NPPES registry on November 8, 2016.

Where is Derek's Place located?

Derek's Place is located at 150 Secret Garden Ln Apt 1, Winston Salem, NC 27104. The listed phone number is (336) 671-3046.

What is Derek's Place's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Derek's Place was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.