Healthcare Provider Details

I. General information

NPI: 1215892419
Provider Name (Legal Business Name): RUTH HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 W 1ST ST STE 201
WINSTON SALEM NC
27101-3642
US

IV. Provider business mailing address

1022 W 1ST ST STE 201
WINSTON SALEM NC
27101-3642
US

V. Phone/Fax

Practice location:
  • Phone: 336-721-8585
  • Fax:
Mailing address:
  • Phone: 336-721-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: RUTH A IBRAHIM
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 336-524-5888