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MRS. EMMA LUCILLE GARVIN ADMINISTRATOR
NPI 1922123892
Intermediate Care Facility, Mental Illness in Winston Salem, NC

Active since March 20, 2007
4527 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 765-8460(336) 724-9674 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Emma Lucille Garvin Administrator NPPES

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

MRS. EMMA LUCILLE GARVIN ADMINISTRATOR (NPI 1922123892) is an individual intermediate care facility, mental illness provider in Winston Salem, North Carolina, licensed in North Carolina (MHL 034-190) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1922123892
Entity TypeIndividualFemale
Primary Taxonomy310500000X
Provider Legal NameMRS. EMMA LUCILLE GARVINCredential: ADMINISTRATOR
Location Address4527 COUNTRY CLUB RDWinston Salem, NC 27104-3517
Mailing Address1161 Edenwood DrWinston Salem, NC 27103-6114 · (336) 682-5870 · Fax (336) 724-9674
Phone(336) 765-8460
Fax(336) 724-9674
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1922123892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License✔ Licensed in NC · MHL 034-190
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
4527 COUNTRY CLUB RD, Winston Salem, NC 27104
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Other Identifiers 1

Medicaid7805234NC

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 Emma Garvin's NPI number?

The NPI number for Emma Garvin is 1922123892. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Emma Garvin located?

Emma Garvin practices at 4527 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 765-8460.

What is Emma Garvin's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Emma Garvin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.