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INDEPENDENT LIVING GROUP HOME, LLC

Community/Behavioral Health

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.

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Contact Information

INDEPENDENT LIVING GROUP HOME, LLC
924 CLOISTER DR
WINSTON-SALEM, NC  27127
 Phone: 336-767-4540
 Fax: 336-283-9288
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

 251S00000X
 

Adult Care Home

 311ZA0620X
 

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 320900000X
 

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 320600000X
Indicates primary specialty

NPI Profile & details for INDEPENDENT LIVING GROUP HOME, LLC

NPI # 1093991234
LBN Legal business name INDEPENDENT LIVING GROUP HOME, LLC
Authorized official SHANITA LOVELACE - (DIRECTOR/ OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2008
Last updated 11/18/2019 - About 7 years ago
Identifiers
NC License # 034-224
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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