GRISWOLD HOME CARE OF WINSTON SALEM (GUARDIAN CARE ADVISORS, INC.) NPI 1407238355

Custodial Care Facility in Winston Salem, NC

Organization Custodial Care Facility

About GRISWOLD HOME CARE OF WINSTON SALEM (GUARDIAN CARE ADVISORS, INC.)

Griswold Home Care Of Winston Salem (guardian Care Advisors, Inc.) is a provider established in Winston Salem, North Carolina specializing in custodial care facility. The NPI number of Griswold Home Care Of Winston Salem (guardian Care Advisors, Inc.) is 1407238355 and was assigned on June 2015. The practitioner's primary taxonomy code is 311Z00000X with license number HC4488 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Griswold Home Care Of Winston Salem. The authorized official of this NPI record is Mr. Norman Potter (Director/owner)

NPI

1407238355

Provider NameGRISWOLD HOME CARE OF WINSTON SALEM (GUARDIAN CARE ADVISORS, INC.)
Provider Location Address1320 ASHLEY SQ WINSTON SALEM, NC 27103
Provider Mailing Address1320 ASHLEY SQ WINSTON SALEM, NC 27103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameGRISWOLD HOME CARE OF WINSTON SALEM
Other Name TypeDoing Business As (3)
Enumeration Date06-26-2015
Last Update Date06-26-2015

Primary Taxonomy

Taxonomy Code311Z00000X
ClassificationCustodial Care Facility
TypeNursing & Custodial Care Facilities
License No.HC4488
License StateNC
Taxonomy DescriptionA facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Business Address

GRISWOLD HOME CARE OF WINSTON SALEM
1320 ASHLEY SQ
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 462-8472

Get Directions

Mailing Address

GRISWOLD HOME CARE OF WINSTON SALEM
1320 ASHLEY SQ
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 462-8472

Authorized Official

Authorized Official NameMR. NORMAN POTTER
Authorized Official TitleDIRECTOR/OWNER
Authorized Official Phone(336) 462-8472

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
HC4488OTHER (01)NC

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497315832GUARDIAN CARE ADVISORS, INC.
Organization
In Home Supportive Care1320 ASHLEY SQ
WINSTON SALEM, NC 27103
(336) 462-8472

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.