SALEM HOUSE
NPI 1063408193
Assisted Living Facility in Winston-salem, NC

Active since September 23, 2005
2560 WILLARD RD, WINSTON-SALEM, NC 27107(336) 650-0699(336) 650-0132 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Salem House NPPES

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

SALEM HOUSE (NPI 1063408193) is a healthcare organization registered as an assisted living facility in Winston-salem, North Carolina and active in the NPI registry since September 2005. The organization lists Tina A Hallman, Controller, as its authorized official.

NPPES Registry Identity

NPI1063408193
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSALEM HOUSE OF WINSTON-SALEM, LLC
Location Address2560 WILLARD RDWinston-salem, NC 27107-5585
Mailing Address2560 Willard RdWinston-salem, NC 27107-5585 · (336) 650-0699 · Fax (336) 650-0132
Fax(336) 650-0132
Organization SubpartNo
Authorized OfficialTina A HallmanController · (828) 324-8898
Enumeration DateSeptember 23, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1063408193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NC · HAL034074
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2560 WILLARD RD, Winston-salem, NC 27107

Other Names 1

Doing Business AsSalem House

Other Identifiers 1

Medicaid7805233NC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
2560 WILLARD RD
WINSTON SALEM, NC 27107
Custodial Care Facility (Adult Care Home)
2560 WILLARD RD
WINSTON SALEM, NC 27107
Nursing Care
2560 WILLARD RD
WINSTON SALEM, NC 27107

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 Salem House Of Winston-Salem, LLC's NPI number?

The NPI number for Salem House Of Winston-Salem, LLC is 1063408193. It was assigned to this organization in the NPPES registry on September 23, 2005. The provider is doing business as Salem House.

Where is Salem House Of Winston-Salem, LLC located?

Salem House Of Winston-Salem, LLC is located at 2560 Willard Rd, Winston-Salem, NC 27107. The listed phone number is (336) 650-0699.

What is Salem House Of Winston-Salem, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Salem House Of Winston-Salem, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.