Independent Living Group Home, LLC
NPI 1093991234 · Community/Behavioral Health Agency · Winston Salem, NC
Independent Living Group Home, LLC is a Community/Behavioral Health Agency organization in Winston Salem, NC (NPI 1093991234).
Provider details
- NPI number
- 1093991234
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shanita Lovelace, Director/ Owner(336) 767-4540
Specialties & taxonomies
Agencies
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense 034-224 (NC)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 1316 Calvert DrWinston Salem, NC 27107-1302Phone: (336) 842-3384Fax: (336) 283-9288
- 1712 Thompson DrWinston Salem, NC 27127-5814Phone: (336) 788-5781Fax: (336) 283-9288
- 2415 Old Salisbury RdWinston Salem, NC 27127-5823Phone: (336) 788-2319Fax: (336) 283-9288
- 355 Ransom RdWinston Salem, NC 27106-3835Phone: (336) 893-5495Fax: (336) 283-9288
- 7748 N Point BlvdWinston Salem, NC 27106-3310Phone: (336) 767-4540Fax: (336) 283-9288
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2019-11-18
Frequently asked questions
- What is Independent Living Group Home, LLC's NPI number?
- Independent Living Group Home, LLC's National Provider Identifier (NPI) is 1093991234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independent Living Group Home, LLC?
- Independent Living Group Home, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Independent Living Group Home, LLC located?
- Independent Living Group Home, LLC's practice location on file with NPPES is 924 Cloister Dr, Winston Salem, NC 27127.
- What is Independent Living Group Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Independent Living Group Home, LLC is (336) 767-4540.
- Who is the authorized official for Independent Living Group Home, LLC?
- The authorized official listed on Independent Living Group Home, LLC's NPPES record is Shanita Lovelace, Director/ Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independent Living Group Home, LLC's NPI active?
- Yes — Independent Living Group Home, LLC's NPI (1093991234) is active in the NPPES registry as of the last update on 2019-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.