OrganizationActive
Nova Family Outreach LLC
NPI 1962228486 · Mental Illness Community Based Residential Treatment Facility · Winston Salem, NC
Provider details
- NPI number
- 1962228486
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Deanna Velazquez, Owner, Clinical Director(704) 968-2492
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3008 White Meadow Ln
Winston Salem, NC 27107-5541
Phone: (704) 968-2492
Street-level locationGet directions
Mailing address
Po Box 668352
Charlotte, NC 28266-8352
Registry dates
- Enumerated
- 2024-11-30
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.