Organization · Type 2 NPI

Independent Living Group Home, LLC

Community/Behavioral Health Agency · Winston Salem, NC

NPI number 1093991234 Active

Practice location

924 Cloister Dr
Winston Salem, NC 27127

Call (336) 767-4540 Map

Fax (336) 283-9288

Mailing address

7748 N Point Blvd
Winston Salem, NC 27106-3310

Other practice locations

  • 1316 Calvert Dr, Winston Salem, NC 27107-1302 · (336) 842-3384
  • 1712 Thompson Dr, Winston Salem, NC 27127-5814 · (336) 788-5781
  • 2415 Old Salisbury Rd, Winston Salem, NC 27127-5823 · (336) 788-2319
  • 355 Ransom Rd, Winston Salem, NC 27106-3835 · (336) 893-5495
  • 7748 N Point Blvd, Winston Salem, NC 27106-3310 · (336) 767-4540

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
Adult Care Home Facility 311ZA0620XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X034-224 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1093991234

Independent Living Group Home, LLC's National Provider Identifier is 1093991234, issued on Jan 17, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 18, 2019.