Organization · Type 2 NPI

Hines Good Samaritan Home

Adult Companion · Winston-Salem, NC

NPI number 1740545284 Active

Practice location

2219 Manchester St.
Winston-Salem, NC 27105

Fax (336) 607-4737

Mailing address

2219 Manchester St
Winston Salem, NC 27105-5535

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed
Personal Care Attendant 3747P1801XNone listed
Home Health Aide 374U00000XNone listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

About NPI 1740545284

Hines Good Samaritan Home's National Provider Identifier is 1740545284, issued on Jul 11, 2012. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 11, 2012.