# LUTHERAN HOME-WINSTON-SALEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trinity Glen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912902230
- **Authorized official:** TED GOINS (PRESIDENT)
- **Authorized official phone:** (704) 637-2870

## Contact information

- **Practice address:** 849 WATERWORKS RD, WINSTON SALEM, NC 27101-1956
- **Practice address phone:** (336) 595-2166
- **Practice address fax:** (336) 595-2169
- **Mailing address:** 5350 OLD WALKERTOWN RD, WINSTON-SALEM, NC 27105-2060
- **Mailing address phone:** (336) 595-2166
- **Mailing address fax:** (336) 595-2169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0058 | NC | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 02/04/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3415088 | — | NC |