Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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It Takes a Village Residential Care LLC

Organization Community/Behavioral Health Agency · NPI 1407489529

It Takes a Village Residential Care LLC is a Community/Behavioral Health Agency in Winston Salem, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

5008 Butterfield Dr
Winston Salem, NC 27105-3344
Phone: (336) 608-2819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X

Record details

NPI number1407489529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chaquille Jackson — Ceo · (336) 608-2819
NPI enumeratedFebruary 17, 2020
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020
Mailing address5008 Butterfield Dr, Winston Salem, NC 27105-3344

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