Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

It Takes A Village Residential Care LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Winston Salem, NC · enumerated 2020 · authorized official Chaquille Jackson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407489529

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Registry record

Entity type Organization (Type 2)

Legal business name It Takes A Village Residential Care LLC

Practice address 5008 Butterfield Dr, Winston Salem, NC, 27105

Phone (336) 608-2819

Enumeration date Feb 17, 2020

Last updated in NPPES Feb 17, 2020

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Secondary

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities Secondary

3245S0500X Children's Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary

Authorized official

Name Chaquille Jackson

Title Ceo

Phone (336) 608-2819

Other identifiers

Identifier	Type	State	Issuer
NA	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is It Takes A Village Residential Care LLC?

It Takes A Village Residential Care LLC is registered in NPPES as a Intellectual and/or Developmental Disabilities Residential Treatment Facility (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-17.