WILSON SMITH COTTAGE
NPI 1881740298
Intermediate Care Facility, Intellectual Disabilities in Winston Salem, NC
About Wilson Smith Cottage NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILSON SMITH COTTAGE (NPI 1881740298) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Winston Salem, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Kirby Nickerson, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2124587
Wilson Smith Cottage · Winston-Salem, NCFrequently 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 Lutheran Family Services In The Carolinas's NPI number?
The NPI number for Lutheran Family Services In The Carolinas is 1881740298. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider is doing business as Wilson Smith Cottage.
Where is Lutheran Family Services In The Carolinas located?
Lutheran Family Services In The Carolinas is located at 185 Martindale Rd, Winston Salem, NC 27107. The listed phone number is (336) 785-3813.
What is Lutheran Family Services In The Carolinas's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does Lutheran Family Services In The Carolinas hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2124587) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lutheran Family Services In The Carolinas was last updated on June 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Wilson Smith Cottage · NPI 1881740298
Intermediate Care Facility, Intellectual Disabilities organization in Winston Salem, North Carolina. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1881740298 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Legal business name:** Lutheran Family Services In The Carolinas
- **Organization subpart:** Yes (part of Lutheran Family Services In The Carolinas)
- **Authorized official:** Kirby Nickerson, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 185 MARTINDALE RD, Winston Salem, NC 27107-1705
- **Phone:** (336) 785-3813
## Record status
- **NPPES last updated:** June 26, 2017
- **Other identifiers:** Medicaid 3406387 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881740298) · Data from the CMS NPPES public registry.