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Wolfe & Jackson Group Home, Inc
Respite Care in Winston Salem, North Carolina
NPI 1790016517

Wolfe & Jackson Group Home, Inc is a Respite Care based in Winston Salem, NC. Wolfe & Jackson Group Home, Inc practices in Winston Salem, NC. The NPI Number for Wolfe & Jackson Group Home, Inc is 1790016517 and holds a License No. (North Carolina).

The current practice location address for Wolfe & Jackson Group Home, Inc is 744 E Sprague St, Winston Salem, NC and can be reached out via phone at 336-788-3004 and via fax at 336-529-6454.

Location: 744 E Sprague St, Winston Salem, NC, 27117-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790016517
Provider Name
Wolfe & Jackson Group Home, Inc
Credential
Provider Entity Type
Organization
Address
744 E Sprague St, Winston Salem, NC, 27117-2002
Phone Number
336-788-3004
Fax Number
336-529-6454
Provider Enumeration Date
01/18/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
744 E Sprague St
City
Winston Salem
State
North Carolina
Zip
27107-3246
Phone Number
336-788-3004
Fax Number
336-529-6454
person
Provider Business Mailing Address Details
Address
744 E Sprague St
City
Winston Salem
State
North Carolina
Zip
27107-3246
Phone Number
336-788-3004
Fax Number
336-529-6454
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-034-276 (North Carolina)
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
MHL-034-276 (North Carolina)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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