Skip to content

Latanya Goodwin

NPI 1639565179ActiveIndividual· Intermediate Care Facility, Mental Illness· Winston Salem, NC

Intermediate Care Facility, Mental Illness in Winston Salem, North Carolina, with an NPI issued in April 2015.

Overview

NPI1639565179
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedApr 11, 2015
Last updated in NPPESOct 8, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Mental Illness Primary310500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 Intermediate Care Facility, Mental Illness providers in Winston Salem

All Intermediate Care Facility, Mental Illness providers in North Carolina