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NOVA FAMILY OUTREACH LLC
NPI 1962228486
Community Based Residential Treatment Facility, Mental Illness in Winston Salem, NC

Active since November 30, 2024
3008 WHITE MEADOW LN, WINSTON SALEM, NC 27107(704) 968-2492 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nova Family Outreach Llc NPPES

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

NOVA FAMILY OUTREACH LLC (NPI 1962228486) is a healthcare organization registered as a community based residential treatment facility, mental illness in Winston Salem, North Carolina and active in the NPI registry since November 2024. The organization lists Deanna Velazquez, Owner, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1962228486
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameNOVA FAMILY OUTREACH LLC
Location Address3008 WHITE MEADOW LNWinston Salem, NC 27107-5541
Mailing AddressPo Box 668352Charlotte, NC 28266-8352 · (704) 968-2492
Phone(704) 968-2492
Organization SubpartNo
Authorized OfficialDeanna VelazquezOwner, Clinical Director · (704) 968-2492
Enumeration DateNovember 30, 2024
Last NPPES UpdateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1962228486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
3008 WHITE MEADOW LN, Winston Salem, NC 27107
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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 Nova Family Outreach LLC's NPI number?

The NPI number for Nova Family Outreach LLC is 1962228486. It was assigned to this organization in the NPPES registry on November 30, 2024.

Where is Nova Family Outreach LLC located?

Nova Family Outreach LLC is located at 3008 White Meadow Ln, Winston Salem, NC 27107. The listed phone number is (704) 968-2492.

What is Nova Family Outreach LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Nova Family Outreach LLC was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.