Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Independent Living Group Home, LLC

Organization Community/Behavioral Health Agency · NPI 1093991234

Independent Living Group Home, LLC is a Community/Behavioral Health Agency in Winston Salem, North Carolina. Works from 6 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

924 Cloister Dr
Winston Salem, NC 27127
Phone: (336) 767-4540
Fax: (336) 283-9288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 7748 N Point Blvd, Winston Salem, NC 27106-3310 — (336) 767-4540
  • 355 Ransom Rd, Winston Salem, NC 27106-3835 — (336) 893-5495
  • 1316 Calvert Dr, Winston Salem, NC 27107-1302 — (336) 842-3384
  • 2415 Old Salisbury Rd, Winston Salem, NC 27127-5823 — (336) 788-2319
  • 1712 Thompson Dr, Winston Salem, NC 27127-5814 — (336) 788-5781

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Adult Care Home Facility Taxonomy 311ZA0620X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence 034-224 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1093991234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanita Lovelace — Director/ Owner · (336) 767-4540
NPI enumeratedJanuary 17, 2008
Last updated in NPPESNovember 18, 2019
Mailing address7748 N Point Blvd, Winston Salem, NC 27106-3310

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