PROFESSIONAL GROUP LIVING, LLC (NPI# 1609044320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609044320 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL GROUP LIVING, LLC |
| Practice Address |
510 Simmons St Durham NC 27701-4334 |
| Mailing Address |
423b S. Chestnut Street Henderson NC 27536 |
| Practice Telephone | 9194755845 |
| Practice Fax Number | 9196880918 |
| Mailing Telephone | 9194755845 |
| Mailing Fax Number | 2524923209 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | MRS. NATALKA LOCK MASSEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9194755845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750522165 | Professional Group Living, LLC | Day Training, Developmentally Disabled Services | 715 Southwest Blvd., B, Clinton, NC 28328-4829 | 2009-03-13 |
| 1508020892 | Professional Group Living, LLC | Community/Behavioral Health | 4084 Barrett Dr, Raleigh, NC 27609-6604 | 2008-07-15 |
| 1518135235 | Professional Group Living, LLC | Day Training, Developmentally Disabled Services | 715 B Southwest Blvd., Clinton, NC 28328-4636 | 2008-02-15 |
| 1174705875 | Professional Group Living, LLC | Community/Behavioral Health | 122 S Center St, Goldsboro, NC 27530-4829 | 2007-12-04 |
| 1821393448 | Professional Group Living, LLC | Case Management | 510 Simmons St, Durham, NC 27701-4334 | 2011-01-12 |
| 1356582472 | Professional Group Living, LLC | Case Management | 122 S Center St, Goldsboro, NC 27530-4829 | 2009-03-19 |
| 1265620421 | Professional Group Living, LLC | Community/Behavioral Health | 1775 Graham Ave, Suite 104, Henderson, NC 27536-5948 | 2007-10-11 |
| Street Address |
510 SIMMONS ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487702619 | Professional Group Living | Case Management | 510 Simmons St, Durham, NC 27701-4334 | 2007-01-05 |
| 1346633310 | Bedrock Healthcare Systems | Social Worker | 510 Simmons St, Durham, NC 27701-4334 | 2015-03-14 |
| 1225376023 | Leslie R Covington | Social Worker | 510 Simmons St, Durham, NC 27701-4334 | 2013-01-29 |
| 1437400710 | Reaching Your Goals | Community/Behavioral Health | 510 Simmons St, Durham, NC 27701-4334 | 2012-09-26 |
| 1821393448 | Professional Group Living, LLC | Case Management | 510 Simmons St, Durham, NC 27701-4334 | 2011-01-12 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994695 | Francine Health Care Services Inc | Case Management | 2737 E Shoreham St, Durham, NC 27707-2959 | 2015-06-10 |
| 1477827962 | The Village-a Comprehensive Human Service Network | Case Management | 650 Ganyard Farm Way, Durham, NC 27703-6270 | 2012-02-29 |
| 1487963062 | Top Priority Care Services | Case Management | 4324 S Alston Ave, Ste 201, Durham, NC 27713-5296 | 2010-09-30 |
| 1295055341 | Lifes Journey Family Services Inc | Case Management | 923 Franklin St, Durham, NC 27701-4093 | 2010-06-10 |
| 1336475052 | Justus Ojwang, Lcsw | Case Management | 1530 N Gregson St Ste 2b, Durham, NC 27701-1164 | 2009-10-30 |
| 1639402936 | Clear and Confident Choices, LLC | Case Management | 3118 Skybrook Ln, Durham, NC 27703-5981 | 2009-09-18 |
| 1659504488 | Walltown Community Outreach, Inc. | Case Management | 1119 Clarendon St, Durham, NC 27705-3511 | 2009-08-27 |
| 1437305331 | Progressive Interventions, Inc. | Case Management | 800 N Mangum St, Suite 111b, Durham, NC 27701-2260 | 2008-08-11 |
| 1538325436 | Impact Community and Coordinated Services, LLC | Case Management | 2605 Carver St, Durham, NC 27705-2720 | 2008-07-31 |
| 1790953958 | A New Frontier | Case Management | 110 Hollow Oak Dr, Durham, NC 27713-9335 | 2008-02-11 |
| 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.