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Derek's Place
Child Intellectual and/or Developmental Disabilities Respite Care in Winston Salem, North Carolina
NPI 1033651070

Derek's Place is a Child Intellectual and/or Developmental Disabilities Respite Care based in Winston Salem, NC and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Derek's Place practices in Winston Salem, NC. The NPI Number for Derek's Place is 1033651070 and holds a License No. (North Carolina).

The current practice location address for Derek's Place is 150 Secret Garden Ln, Winston Salem, NC and can be reached out via phone at 336-671-3046.

Location: 150 Secret Garden Ln, Winston Salem, NC, 27104-4721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033651070
Provider Name
Derek's Place
Credential
Provider Entity Type
Organization
Address
150 Secret Garden Ln, Winston Salem, NC, 27104-4721
Phone Number
336-671-3046
Fax Number
Provider Enumeration Date
11/08/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
150 Secret Garden Ln
City
Winston Salem
State
North Carolina
Zip
27104-4721
Phone Number
336-671-3046
Fax Number
person
Provider Business Mailing Address Details
Address
150 Secret Garden Ln
City
Winston Salem
State
North Carolina
Zip
27104-4721
Phone Number
336-671-3046
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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