Provider Demographics
NPI:1467820142
Name:TOP PRIORITY CARE SERVICES, LLC.
Entity Type:Organization
Organization Name:TOP PRIORITY CARE SERVICES, LLC.
Other - Org Name:J. EDWARDS GROUP HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA, LCAS
Authorized Official - Phone:336-896-1323
Mailing Address - Street 1:4401 PROVIDENCE LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3226
Mailing Address - Country:US
Mailing Address - Phone:336-896-1323
Mailing Address - Fax:336-896-1327
Practice Address - Street 1:4633 TOBACCO ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106
Practice Address - Country:US
Practice Address - Phone:336-661-6016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMHL 034 319320600000X
NCMHL-034-319320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities