Outreach Home # 3. in Durham - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Outreach Home # 3. - NPI 1649496928
Outreach Home # 3. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Durham, North Carolina. Outreach Home # 3. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Outreach Home # 3. is 1649496928. The last update date is 2008-06-16.
Outreach Home # 3.'s current location address is 305 Shalimar Dr, Durham, North Carolina. You can contact this provider via phone number 9196832707. The mailing address for Outreach Home # 3. is 305 Shalimar Dr, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outreach Home # 3. |
|---|---|
| Address | 305 Shalimar Dr, Durham, North Carolina |
| Phone Number | 9196832707 |
| 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 | 1649496928 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 305 Shalimar Dr |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277137571 |
| Phone Number | 9196832707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-032-355 |
|
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 |
|---|---|---|---|
| 7805420 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Outreach Home # 3. by the Centers for Medicare & Medicaid Services (CMS)?
The Outreach Home # 3. has been assigned the NPI (National Provider Identifier) 1649496928. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Outreach Home # 3.'s physical address?
The Outreach Home # 3. is physically located at 305 Shalimar Dr, in the city of Durham, NC, with the postal code 277137571.
What is the Outreach Home # 3.'s specialty and taxonomy code?
The Outreach Home # 3.'s specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649496928 to Outreach Home # 3.?
The Centers for Medicare & Medicaid Services originally issued the 1649496928 to Outreach Home # 3. on 2007-04-17.
When was the information pertaining to Outreach Home # 3. most recently updated or revised?
The details related to Outreach Home # 3., including its address, specialty, and other relevant information, were last updated or revised on 2008-06-16.