MEDICARE: SPRINGWELL NETWORK, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	MHL-034151	NC
2	251S00000X	Community/Behavioral Health Agency	MHL-034-365	NC
3	311ZA0620X	Adult Care Home Facility	MHL-034-365	NC
4	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	MHL-034-365	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427137017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGWELL NETWORK, INC.

Provider Business Mailing Address
First Line	:	3820 NORTH PATTERSON AVENUE
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105
Country	:	US
Telephone Number	:	336-831-1300
Fax Number	:	336-831-1314

Provider Business Practice Location Address
First Line	:	3820 NORTH PATTERSON AVENUE
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-3140
Country	:	US
Telephone Number	:	336-831-1300
Fax Number	:	336-831-1314

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. CHARLENE WARREN
Credential	:
Telephone Number	:	336-831-1300

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	02/19/2018

Similar Medicare Providers

1124119177 — SPRINGWELL NETWORK, INC.
Practice Location Address:

5130 PRESSMAN DRIVE
WINSTON SALEM, NC
27105-3140

Practice Phone: 336-767-0619
Practice Fax: 336-831-1314

1215398268 — GLOBAL INTERPRETERS USA
Practice Location Address:

2720 SUMMER ST SE
SALEM, OR
97302-3140

Practice Phone: 503-409-2559
Practice Fax:

1457208654 — CHRISTIAN FAITH COUNSELING PLLC
Practice Location Address:

501 W 26TH ST
WINSTON SALEM, NC
27105-4918

Practice Phone: 336-926-2017
Practice Fax:

1043979180 — BRITTANY LEIGH ANN COLLINS LCSWA
Practice Location Address:

4555 OGBURN AVE
WINSTON SALEM, NC
27105-2726

Practice Phone: 336-703-4273
Practice Fax:

1285580381 — REJUVENATION SUPPORT SERVICES, INC
Practice Location Address:

4554 RENIGAR ST
WINSTON SALEM, NC
27105-2936

Practice Phone: 678-827-1052
Practice Fax:

1356298137 — RAESAUN LOYD
Practice Location Address:

3903 SUNFLOWER PL
WINSTON SALEM, NC
27105-3238

Practice Phone: 336-761-4193
Practice Fax:

Directions to “SPRINGWELL NETWORK, INC. ” 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.