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CLIMBING JACOBS LADDER LLC
NPI 1215024682
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Winston Salem, NC

Active since October 06, 2006
3401 HEALY DR, SUITE-B, WINSTON SALEM, NC 27103(336) 760-5516(336) 760-5517 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Climbing Jacobs Ladder Llc NPPES

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

CLIMBING JACOBS LADDER LLC (NPI 1215024682) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Winston Salem, North Carolina and active in the NPI registry since October 2006. The organization lists James Robert Paul, Director, as its authorized official.

NPPES Registry Identity

NPI1215024682
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCLIMBING JACOBS LADDER LLC
Location Address3401 HEALY DR, SUITE-BWinston Salem, NC 27103-1450
Mailing Address7475 Princess Anne Ct, Suite -bRural, NC 27045-9821 · (336) 760-5516 · Fax (336) 760-5517
Phone(336) 760-5516
Fax(336) 760-5517
Organization SubpartNo
Authorized OfficialJames Robert PaulDirector · (336) 760-5516
Enumeration DateOctober 6, 2006
Last NPPES UpdateJune 10, 2008
✔ NPI 1215024682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3401 HEALY DR, Winston Salem, NC 27103
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Other Identifiers 1

Medicaid8301092NC

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 Climbing Jacobs Ladder LLC's NPI number?

The NPI number for Climbing Jacobs Ladder LLC is 1215024682. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Climbing Jacobs Ladder LLC located?

Climbing Jacobs Ladder LLC is located at 3401 Healy Dr Suite-B, Winston Salem, NC 27103. The listed phone number is (336) 760-5516.

What is Climbing Jacobs Ladder LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Climbing Jacobs Ladder LLC was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.