MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER (NPI# 1265601223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265601223 |
| Entity Type | Organization |
| Organization Name | MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER |
| Practice Address |
804 Cox Ave Durham NC 27701-4519 |
| Mailing Address |
506 Ravenstone Ln Durham NC 27703-9621 |
| Practice Telephone | 9197655748 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | MS. VALERIA H SUMPTER (CEO/PRESIDENT) |
| Authorized Official Telephone | 9197655748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-032-425 | NC | Residential Treatment Facilities |
| Street Address |
804 COX AVE |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-4519 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295163442 | Elspeth Walker | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1315-b Ripley Street, Durham, NC 27707-1182 | 2013-10-25 |
| 1134556897 | The Wilson House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1711 West Lakewood Ave., Durham, NC 27707 | 2013-09-26 |
| 1003248568 | Winburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 E Club Blvd, Durham, NC 27704-3404 | 2013-08-06 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1104264019 | Warm Hands Kind Hearts | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 941 Spring Meadow Dr, Durham, NC 27713-7180 | 2013-06-13 |
| 1023315629 | Elite Care Facilities Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 305 Whitney Ln, Durham, NC 27713-6644 | 2011-02-16 |
| 1497910921 | Crossland Group Family Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1209 Briardale Rd, Durham, NC 27712-9776 | 2008-07-24 |
| 1295998029 | Fayetteville Street Community Living Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 111 N Maple St, Durham, NC 27703-3021 | 2008-07-02 |
| 1063682573 | Herbert Way of Living,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3014 Forrester St, Durham, NC 27704-2310 | 2008-03-11 |
| 1215110739 | Dove House of Helping Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2721 Hinson Dr, Durham, NC 27704-3353 | 2007-12-06 |
| 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.