ZOE: BEHAVIOR HEALTH SERVICES, INC. NPI 1679675656

Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities in Winston Salem, NC

Organization Community Based Residential Treatment Fa...

About ZOE: BEHAVIOR HEALTH SERVICES, INC.

Zoe: Behavior Health Services, Inc. is a provider established in Winston Salem, North Carolina specializing in community based residential treatment facility, mental retardation and/or developmental disabilities. The NPI number of Zoe: Behavior Health Services, Inc. is 1679675656 and was assigned on September 2006. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. April B Witherspoon B.a.sociology (Ceo, Director)

NPI

1679675656

Provider NameZOE: BEHAVIOR HEALTH SERVICES, INC.
Provider Location Address1922 S MARTIN LUTHER KING JR DR BOX N SUITE 224 WINSTON SALEM, NC 27107
Provider Mailing Address1922 S MARTIN LUTHER KING JR DR BOX N SUITE 224 WINSTON SALEM, NC 27107
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-01-2006
Last Update Date04-19-2013

Primary Taxonomy

Taxonomy Code320900000X
ClassificationCommunity Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
TypeResidential Treatment Facilities
Taxonomy DescriptionA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Business Address

ZOE: BEHAVIOR HEALTH SERVICES, INC.
1922 S MARTIN LUTHER KING JR DR
BOX N SUITE 224
WINSTON SALEM, NC
ZIP 27107
Phone: (336) 734-6911
Fax: (336) 734-6917

Get Directions

Mailing Address

ZOE: BEHAVIOR HEALTH SERVICES, INC.
1922 S MARTIN LUTHER KING JR DR
BOX N SUITE 224
WINSTON SALEM, NC
ZIP 27107
Phone: (336) 734-6911
Fax: (336) 734-6917

Authorized Official

Authorized Official NameMS. APRIL B WITHERSPOON B.A.SOCIOLOGY
Authorized Official TitleCEO, DIRECTOR
Authorized Official Phone(336) 734-6911

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1385HR2060XRespite Care FacilityRespite CareRespite Care, Mental Retardation and/or Developmental Disabilities9046NCNo

Taxonomy Description: a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers.

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
3418023MEDICAID (05)NC

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114442381 OLAYINKA IBERONKE DYKES LPCA #A13107
Individual
Counselor (Mental Health)1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
(336) 464-3136
1134764855SUSTAINING HANDS HOME CARE, LLC
Organization
Home Health1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
(336) 734-6900
1225430457 ESTHER MENDEZ LPCA
Individual
Rehabilitation Counselor1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
(336) 655-8200
1306036470 LATRINA DEVONNE WINFORD LPCS
Individual
Counselor (Professional)1922 S MARTIN LUTHER KING JR DR 25
WINSTON SALEM, NC 27107
(336) 577-6652
1346754645MS. ASHLEY SHANNESE BROWN MS, LPC, CRC
Individual
Counselor (Mental Health)1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
(336) 509-3373
1558743542 TIARRA CHARELLE CARTER LPC, LCAS
Individual
Counselor (Professional)1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
(336) 908-9936
1801113113GROMEDS TO GO
Organization
Driver1922 S MARTIN LUTHER KING JR DR SUITE I
WINSTON SALEM, NC 27107
(336) 926-1643

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.