INDEPENDENT LIVING GROUP HOME, LLC
NPI 1093991234
Community/Behavioral Health in Winston Salem, NC

Q: What is Independent Living Group Home, LLC's NPI number?

The NPI number for Independent Living Group Home, LLC is 1093991234. It was assigned to this organization in the NPPES registry on January 17, 2008.

Q: What is Independent Living Group Home, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since January 17, 2008

924 CLOISTER DR, WINSTON SALEM, NC 27127(336) 767-4540(336) 283-9288 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2019, Oct 2, 2018, Aug 4, 2017 (3 updates tracked since 2017).

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About Independent Living Group Home, Llc NPPES

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

INDEPENDENT LIVING GROUP HOME, LLC (NPI 1093991234) is a healthcare organization registered as a community/behavioral health in Winston Salem, North Carolina and active in the NPI registry since January 2008. The organization maintains 5 additional practice locations and lists Shanita Lovelace, Director/ Owner, as its authorized official.

NPPES Registry Identity

NPI1093991234

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameINDEPENDENT LIVING GROUP HOME, LLC

Location Address924 CLOISTER DRWinston Salem, NC 27127

Mailing Address7748 N Point BlvdWinston Salem, NC 27106-3310 · (336) 767-4540 · Fax (336) 499-0651

Phone(336) 767-4540

Fax(336) 283-9288

Organization SubpartNo

Authorized OfficialShanita LovelaceDirector/ Owner · (336) 767-4540

Enumeration DateJanuary 17, 2008

Last NPPES UpdateNovember 18, 20193 updates tracked since enumeration

✔ NPI 1093991234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 034-224 (NC)

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

924 CLOISTER DR, Winston Salem, NC 27127

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Secondary Practice Locations 5

Location 11712 Thompson DrWinston Salem, NC 27127-5814 · Phone (336) 788-5781 · Fax (336) 283-9288

Location 21316 Calvert DrWinston Salem, NC 27107-1302 · Phone (336) 842-3384 · Fax (336) 283-9288

Location 32415 Old Salisbury RdWinston Salem, NC 27127-5823 · Phone (336) 788-2319 · Fax (336) 283-9288

Location 4355 Ransom RdWinston Salem, NC 27106-3835 · Phone (336) 893-5495 · Fax (336) 283-9288

Location 57748 N Point BlvdWinston Salem, NC 27106-3310 · Phone (336) 767-4540 ext. 208 · Fax (336) 283-9288

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 Independent Living Group Home, LLC's NPI number?

The NPI number for Independent Living Group Home, LLC is 1093991234. It was assigned to this organization in the NPPES registry on January 17, 2008.

Where is Independent Living Group Home, LLC located?

Independent Living Group Home, LLC is located at 924 Cloister Dr, Winston Salem, NC 27127. The listed phone number is (336) 767-4540.

What is Independent Living Group Home, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Independent Living Group Home, LLC was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.