MEDICARE: THE URBAN GENT INITIATIVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251B00000X	Case Management Agency
3	253Z00000X	In Home Supportive Care Agency
4	343900000X	Non-emergency Medical Transport (VAN)
5	171M00000X	Case Manager/Care Coordinator
6	320800000X	Mental Illness Community Based Residential Treatment Facility
7	177F00000X	Lodging Provider
8	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1033099379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE URBAN GENT INITIATIVE

Provider Business Mailing Address
First Line	:	5711 SILCHESTER LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-5328
Country	:	US
Telephone Number	:	929-459-1087
Fax Number	:

Provider Business Practice Location Address
First Line	:	2643 REID ST
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27107-1608
Country	:	US
Telephone Number	:	929-459-1087
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DASHAWN DERRICK HOLMES
Credential	:
Telephone Number	:	929-459-1087

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	10/06/2025

Similar Medicare Providers

1780311621 — ANNA FERNANDEZ LCSW
Practice Location Address:

3483 BORUM DR
WINSTON SALEM, NC
27107-4501

Practice Phone: 865-414-0099
Practice Fax:

1609727940 — PRAXIS BEHAVIOR LLC
Practice Location Address:

3804 ROBBINS BROOK DR
WINSTON SALEM, NC
27107-2691

Practice Phone: 407-408-3168
Practice Fax:

1760169098 — 4WARD STEPS LLC
Practice Location Address:

1164 SALEM LAKE RD
WINSTON SALEM, NC
27107-1551

Practice Phone: 336-782-3707
Practice Fax:

1467303438 — BRIGHTER FUTURES DEVELOPMENTAL CLINIC LLC
Practice Location Address:

4043 MEREDITH WOODS LN
WINSTON SALEM, NC
27107-6975

Practice Phone: 336-403-6371
Practice Fax:

1982154449 — DR. LYNN LEMCKE COLEMAN EDD
Practice Location Address:

6173 GLEN WAY DR
WINSTON SALEM, NC
27107-3786

Practice Phone: 617-203-8936
Practice Fax:

1306840251 — SPEECHCENTER, INC.
Practice Location Address:

185 CHARLOIS BLVD.
WINSTON-SALEM, NC
27107-1521

Practice Phone: 336-725-0222
Practice Fax: 336-725-0454

Directions to “THE URBAN GENT INITIATIVE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.