COMMUNITY OUTREACH GROUP, LLC (NPI# 1760659254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760659254 |
| Entity Type | Organization |
| Organization Name | COMMUNITY OUTREACH GROUP, LLC |
| Practice Address |
3600 N Duke St Durham NC 27704-1709 |
| Mailing Address |
Po Box 304 Wadesboro NC 28170-0304 |
| Practice Telephone | 9195393659 |
| Practice Fax Number | 7049430861 |
| Mailing Telephone | 9195393659 |
| Mailing Fax Number | 7049430861 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | FASHENDA L LITTLE (MEMBER) |
| Authorized Official Telephone | 9195393659 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | TBA | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY OUTREACH GROUP, LLC | 1110 Vermont Avenue, #300, Washington, District of Columbia 20005 |
| Connecticut Business Registrations | Community Outreach Group, LLC | 1110 Vermont Avenue Nw, #300, Washington, DC 20005 |
| Colorado Business Entities | Community Outreach Group, LLC | 9450 Sw Gemini Drive, #51706, Beaverton, OR 97008 |
| Iowa Business Entities | COMMUNITY OUTREACH GROUP, LLC | 9450 Sw Gemini Drive 51706, Beaverton, OR 97008 |
| Oregon Corporations, Companies and Business Names | COMMUNITY OUTREACH GROUP, LLC | 9450 Sw Gemini Drive #51706, Beaverton, OR 97008 |
| Street Address |
3600 N DUKE ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962512665 | Kerr Drug Inc | Pharmacy | 3600 N Duke St, Durham, NC 27704-1709 | 2006-08-30 |
| 1750643219 | Chelsea Rae Hernley | Speech-Language Pathologist | 3600 N Duke St, Suite 100b, Durham, NC 27704-1709 | 2012-06-11 |
| 1053677864 | Steven Shea Jones | Pharmacist | 3600 N Duke St, Durham, NC 27704-1709 | 2012-04-05 |
| 1780918136 | Trisouth - Durham | Home Health | 3600 N Duke St, Ste 103, Durham, NC 27704-1709 | 2009-10-01 |
| 1578790762 | Chauncey Walker West | Dentist | 3600 N Duke St, Durham, NC 27704-1709 | 2009-06-16 |
| 1639320237 | Angel Star Home Health, Inc. | Counselor | 3600 N Duke St, Suite 103, Durham, NC 27704-1709 | 2008-10-01 |
| 1407014962 | Angel Start of Durham | Home Health | 3600 N Duke St, Suite 103, Durham, NC 27704-1709 | 2008-05-30 |
| 1174795165 | Asd-pcs-durham | Home Health | 3600 N Duke St, Suite 103, Durham, NC 27704-1709 | 2008-03-31 |
| 1922270214 | Asd-cap Services | Home Health | 3600 N Duke St, Suite 103, Durham, NC 27704-1709 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578667 | Alternative Choice Home Care Agency, LLC | Community/Behavioral Health | 800 N Mangum St Ste A-i, Durham, NC 27701-2260 | 2020-04-29 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1457916132 | Kalvin Franklin Jr. | Community/Behavioral Health | 2632 Cherry Creek Dr, Durham, NC 27703-5746 | 2019-05-07 |
| 1356804108 | Komkare Empowerment Center | Community/Behavioral Health | 1058 W Club Blvd Ste 232, Durham, NC 27701-1149 | 2019-04-09 |
| 1952883431 | Willow Oak Therapy, Pllc | Community/Behavioral Health | 3622 Lyckan Pkwy Ste 6006, Durham, NC 27707-2539 | 2018-08-31 |
| 1033634886 | Liasions Community Care | Community/Behavioral Health | 304a N Driver St, Durham, NC 27703-3058 | 2017-08-12 |
| 1447785134 | Nathaniel David Sawyer | Community/Behavioral Health | 5731 N Roxboro Rd, Durham, NC 27712-1427 | 2017-05-01 |
| 1376075556 | Baart Community Healthcare | Community/Behavioral Health | 800 N Mangum St Ste 300&400, Durham, NC 27701-2260 | 2017-03-28 |
| 1457807968 | Therapeutic Interventions Pllc | Community/Behavioral Health | 1058 W Club Blvd Ste 602, Durham, NC 27701-1159 | 2016-08-25 |
| 1912355298 | Harmony Healthcare Services, LLC | Community/Behavioral Health | 4004 Ben Franklin Blvd Ste C, Durham, NC 27704-2384 | 2016-05-27 |
| 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.