Outreach Home # 2 in Durham - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Outreach Home # 2 - NPI 1750507026
Outreach Home # 2 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Durham, North Carolina. Outreach Home # 2 practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Outreach Home # 2 is 1750507026. The last update date is 2020-08-22.
Outreach Home # 2's current location address is 305 Shalimar Dr, Durham, North Carolina. You can contact this provider via phone number 9195441033. The mailing address for Outreach Home # 2 is 305 Shalimar Dr, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outreach Home # 2 |
|---|---|
| Address | 305 Shalimar Dr, Durham, North Carolina |
| Phone Number | 9195441033 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Okeke N. Joy |
| Credentials | RN |
| Telephone Number | 9196410162 |
NPI Number Detail
| NPI Number | 1750507026 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 305 Shalimar Dr |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277137571 |
| Phone Number | 9195441033 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-032-346 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805419 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Outreach Home # 2 by the Centers for Medicare & Medicaid Services (CMS)?
The Outreach Home # 2 has been assigned the NPI (National Provider Identifier) 1750507026. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Outreach Home # 2?
The Outreach Home # 2 is physically situated at 305 Shalimar Dr, in the city of Durham, state of NC, with the postal code 277137571.
What is the area of specialization for Outreach Home # 2, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Outreach Home # 2 is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750507026 to Outreach Home # 2?
The Outreach Home # 2 received its 1750507026 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date were the details pertaining to Outreach Home # 2 last refreshed?
The information related to the Outreach Home # 2, including its address, specialty, and other relevant details, was last updated on 2020-08-22.