Outreach Home #1 in Durham - Residential Treatment Facility, Physical Disabilities
Outreach Home #1 - NPI 1063638328
Outreach Home #1 is a Residential Treatment Facility, Physical Disabilities in Durham, North Carolina. Outreach Home #1 practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Outreach Home #1 is 1063638328. The last update date is 2020-08-22.
Outreach Home #1'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 #1 is 305 Shalimar Dr, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outreach Home #1 |
|---|---|
| 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 | 1063638328 |
|---|---|
| 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, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | MHL032299 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804843 | NC | -- |
Post Comment/ Review Below
What is the Outreach Home #1's unique identification number?
The Outreach Home #1 has been assigned the NPI (National Provider Identifier) Number 1063638328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Outreach Home #1 is physically located?
The Outreach Home #1 is situated at the following address: 305 Shalimar Dr, Durham, NC 277137571.
What is Outreach Home #1's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Outreach Home #1 is Residential Treatment Facility, Physical Disabilities, and the corresponding taxonomy classification code for this specialized field is 320700000X.
When was the Outreach Home #1's 1063638328 issued?
The Outreach Home #1's 1063638328 was issued on 2007-04-17.
When was the information regarding Outreach Home #1, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Outreach Home #1, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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