NPI Lens

Blue State Wellness and Recovery

NPI 1487111787ActiveOrganization· Case Manager/Care Coordinator· Winston Salem, NC

Case Manager/Care Coordinator in Winston Salem, North Carolina, registered in NPPES in February 2019. The authorized official on file is Brandon Williams, Chairman/Member Manager.

Overview

NPI1487111787
StatusActive
Entity typeOrganization
NPI issuedFeb 23, 2019
Last updated in NPPESFeb 23, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary171M00000X——
Meals174200000X——
Lodging177F00000X——
Case Management251B00000X——
Day Training, Developmentally Disabled Services251C00000X——
Home Health251E00000X——
Public Health or Welfare251K00000X——
Community/Behavioral Health251S00000X——
Early Intervention Provider Agency252Y00000X——
In Home Supportive Care253Z00000X——
Clinic/Center, Adult Day Care261QA0600X——
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X——
Intermediate Care Facility, Intellectual Disabilities315P00000X——
Residential Treatment Facility, Intellectual and/or Developmental Disabilities320600000X——
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child385HR2060X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Case Manager/Care Coordinator providers in Winston Salem

All Case Manager/Care Coordinator providers in North Carolina →