DURHAM CENTER FOR SENIOR LIFE (NPI# 1003215195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003215195 |
| Entity Type | Organization |
| Organization Name | DURHAM CENTER FOR SENIOR LIFE |
| Practice Address |
406 Rigsbee Ave Suite 202 Durham NC 27701-2186 |
| Practice Telephone | 9196888247 |
| Practice Fax Number | 9196833406 |
| Mailing Telephone | 9196888247 |
| Mailing Fax Number | 9196833406 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | CATHY STALLCUP (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9196888247 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
000615 | NC | Nursing & Custodial Care Facilities |
| Street Address |
406 RIGSBEE AVE SUITE 202 |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396782132 | Senior Pharmassist | Voluntary or Charitable | 406 Rigsbee Ave, Suite 201, Durham, NC 27701-2186 | 2006-06-01 |
| 1689923393 | Ciantel Adair Blyler | Pharmacist | 406 Rigsbee Ave, Suite 201, Durham, NC 27701-2186 | 2012-09-10 |
| 1881880193 | Meals On Wheels of Durham | Home Delivered Meals | 406 Rigsbee Ave, Suite 101, Durham, NC 27701-2186 | 2007-09-20 |
| 1043366743 | Marilyn Edith Disco | Pharmacist | 406 Rigsbee Ave, Suite 201, Durham, NC 27701-2186 | 2007-01-26 |
| 1447316179 | Gina Upchurch | Pharmacist | 406 Rigsbee Ave, Suite 201, Durham, NC 27701-2186 | 2006-12-28 |
| 1215090857 | Jessica L Visco | Pharmacist | 406 Rigsbee Ave, Suite 201, Durham, NC 27701-2186 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1922570001 | Idella Wright Homes,llc | Custodial Care Facility | 822 Midway Ave, Durham, NC 27703-5128 | 2018-12-29 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1487190401 | Pivotal Care Group Inc | Custodial Care Facility | 2905 Guess Rd, Suite 5, Durham, NC 27705-2677 | 2017-01-14 |
| 1831641604 | Pp&v Health Care Solutions LLC | Custodial Care Facility | 4901 Paces Ferry Dr, Durham, NC 27712-4103 | 2016-10-27 |
| 1578915849 | Tender Mercies II | Custodial Care Facility | 1005 Horton Rd, Durham, NC 27704-1609 | 2016-07-11 |
| 1245628197 | Cjm Holdings LLC | Custodial Care Facility | 4111 Kismet Dr, Durham, NC 27705-2838 | 2014-12-30 |
| 1639575723 | Supreme Family Care Home | Custodial Care Facility | 1120 Benning St, Durham, NC 27703-1504 | 2014-11-17 |
| 1346645868 | Autumn's Way Care Home | Custodial Care Facility | 4811 Bay Point Dr, Durham, NC 27713-9413 | 2014-10-27 |
| 1245651843 | M&l Family Care | Custodial Care Facility | 2124 Strebor Street, Durham, NC 27705-2756 | 2013-12-27 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.