IndividualActive
Emma Garvin, ADMINISTRATOR
NPI 1922123892 · Mental Illness Intermediate Care Facility · Winston Salem, NC
Provider details
- NPI number
- 1922123892
- Entity type
- Individual
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Credential
- ADMINISTRATOR
- Sex
- Female
- Sole proprietor
- Yes
- License
- MHL 034-190 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4527 Country Club Rd
Winston Salem, NC 27104-3517
Phone: (336) 765-8460
Fax: (336) 724-9674
Street-level locationGet directions
Mailing address
1161 Edenwood Dr
Winston Salem, NC 27103-6114
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.