WINSTON-SALEM OPCO, LLC
NPI 1396411161
Custodial Care Facility - Adult Care Home in Winston Salem, NC

Q: What is Winston-Salem Opco, LLC's NPI number?

The NPI number for Winston-Salem Opco, LLC is 1396411161. It was assigned to this organization in the NPPES registry on August 20, 2021. The provider is doing business as Southfork.

Q: What is Winston-Salem Opco, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since August 20, 2021

1345 JONESTOWN RD, WINSTON SALEM, NC 27103(336) 768-8828 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Winston-salem Opco, Llc NPPES

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

WINSTON-SALEM OPCO, LLC (NPI 1396411161), doing business as Southfork, is a healthcare organization registered as an adult care home in Winston Salem, North Carolina and active in the NPI registry since August 2021. The organization lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1396411161

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameWINSTON-SALEM OPCO, LLC

Location Address1345 JONESTOWN RDWinston Salem, NC 27103-6003

Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 322-5535

Phone(336) 768-8828

Organization SubpartNo

Authorized OfficialCharles E TrefzgerManager · (828) 322-5535

Enumeration DateAugust 20, 2021

NPPES CertifiedAugust 20, 2021

✔ NPI 1396411161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedAssisted Living FacilityTaxonomy 310400000X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

1345 JONESTOWN RD, Winston Salem, NC 27103

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Other Names 1

Doing Business AsSouthfork

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 Winston-Salem Opco, LLC's NPI number?

The NPI number for Winston-Salem Opco, LLC is 1396411161. It was assigned to this organization in the NPPES registry on August 20, 2021. The provider is doing business as Southfork.

Where is Winston-Salem Opco, LLC located?

Winston-Salem Opco, LLC is located at 1345 Jonestown Rd, Winston Salem, NC 27103. The listed phone number is (336) 768-8828.

What is Winston-Salem Opco, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Winston-Salem Opco, LLC was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.