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OLD VINEYARD BEHAVIORAL HEALTH SERVICES
NPI 1922038082
Psychiatric Hospital in Winston Salem, NC

Active since July 04, 2006CLIA 34D0983708 · Waiver
3637 OLD VINEYARD RD, WINSTON SALEM, NC 27104(336) 794-3550(336) 794-3545 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Vineyard Behavioral Health Services NPPES

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

OLD VINEYARD BEHAVIORAL HEALTH SERVICES (NPI 1922038082) is a healthcare organization registered as a psychiatric hospital in Winston Salem, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Steve Filton, Sr Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1922038082
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameKEYSTONE WSNC, LLC
Location Address3637 OLD VINEYARD RDWinston Salem, NC 27104-4842
Mailing Address3637 Old Vineyard RdWinston Salem, NC 27104-4842 · (336) 794-3550 · Fax (336) 794-3545
Phone(336) 794-3550
Fax(336) 794-3545
Organization SubpartNo
Authorized OfficialSteve FiltonSr Vp Cfo · (610) 768-3300
Enumeration DateJuly 4, 2006
Last NPPES UpdateDecember 19, 2014
✔ NPI 1922038082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in NC · MHH0188
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License MHH0188 (NC)
3637 OLD VINEYARD RD, Winston Salem, NC 27104
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Other Names 1

Doing Business AsOld Vineyard Behavioral Health Services

Other Identifiers 3

Medicaid3404007NC
Medicaid3404520NC
Medicare PIN344007NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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 34D0983708

Old Vineyard Behavioral Health Services · Winston-Salem, NC
Active · expires Feb 28, 2027
CLIA Number34D0983708
Laboratory TypeOther
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorKelly Thacker
Laboratory Phone(336) 794-3546
Laboratory LocationOld Vineyard Behavioral Health Services3637 Old Vineyard Rd, Winston-Salem, NC 27104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Old Vineyard Youth Services (CMS certification number 344007), from CMS Care Compare.

Old Vineyard Youth Services

Psychiatric · Winston Salem, NC
OwnershipProprietary
CMS Certification Number344007
Location3637 Old Vineyard RoadWinston Salem, NC 27104 · Forsyth County · (336) 794-3550

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA MARIA WAYE DNP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3637 OLD VINEYARD RD
WINSTON SALEM, NC 27104
Forsyth County (855) 234-5920
MRS. REBECCA J. MCLEMORE MSW, LCSWA
Social Worker (Clinical)
3637 OLD VINEYARD RD
WINSTON SALEM, NC 27104
Forsyth County (336) 794-4936
BRITTNEY J LOWERY MA, LCMHC
Counselor (Professional)
3637 OLD VINEYARD RD
WINSTON SALEM, NC 27104
Forsyth County (336) 231-6889
PATRICE S PEARSON NP
Nurse Practitioner (Psychiatric/Mental Health)
3637 OLD VINEYARD RD
WINSTON SALEM, NC 27104
Forsyth County (336) 794-3550
JANE PARANAE KILOLONG
Registered Nurse (Psychiatric/Mental Health)
3637 OLD VINEYARD RD
WINSTON SALEM, NC 27104
Forsyth County (336) 794-3550
KEYSTONE WSNC LLC
Psychiatry & Neurology (Psychiatry)
3637 OLD VINEYARD RD
WINSTON SALEM, NC 27104
Forsyth County (336) 794-3550
BRITTANY NICOLE HOLLY COMER
Social Worker (Clinical)
3637 OLD VINEYARD RD
WINSTON SALEM, NC 27104
Forsyth County (336) 749-4288
THERESA ECONOMOS LCSW
Social Worker (Clinical)
3637 OLD VINEYARD RD
WINSTON SALEM, NC 27104
Forsyth County (336) 794-4336

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 Keystone Wsnc, LLC's NPI number?

The NPI number for Keystone Wsnc, LLC is 1922038082. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Old Vineyard Behavioral Health Services.

Where is Keystone Wsnc, LLC located?

Keystone Wsnc, LLC is located at 3637 Old Vineyard Rd, Winston Salem, NC 27104. The listed phone number is (336) 794-3550.

What is Keystone Wsnc, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Keystone Wsnc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0983708) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Keystone Wsnc, LLC a Medicare-certified hospital?

Yes. Old Vineyard Youth Services is a Medicare-certified hospital (Psychiatric).

What insurance does Keystone Wsnc, LLC accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Keystone Wsnc, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keystone Wsnc, LLC was last updated on December 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.