Provider Demographics
NPI:1205357878
Name:ACCORDIUS HEALTH AT WINSTON SALEM, LLC
Entity Type:Organization
Organization Name:ACCORDIUS HEALTH AT WINSTON SALEM, LLC
Other - Org Name:ACCORDIUS HEALTH AT WINSTON SALEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BATYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GORELICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-744-5674
Mailing Address - Street 1:212 2ND ST STE 501
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3424
Mailing Address - Country:US
Mailing Address - Phone:732-497-1150
Mailing Address - Fax:
Practice Address - Street 1:4911 BRIAN CENTER LN
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-6423
Practice Address - Country:US
Practice Address - Phone:877-567-0402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-04
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility