Provider Demographics
NPI:1821469859
Name:NAWIN HEALTH GROUP, LLC
Entity Type:Organization
Organization Name:NAWIN HEALTH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:NAWIN
Authorized Official - Last Name:NYEPLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-655-2711
Mailing Address - Street 1:7501 MARY JO HELMS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-2362
Mailing Address - Country:US
Mailing Address - Phone:336-655-2711
Mailing Address - Fax:
Practice Address - Street 1:331 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-5371
Practice Address - Country:US
Practice Address - Phone:336-655-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency