WINBURN HOUSE (NPI# 1003248568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003248568 |
| Entity Type | Organization |
| Organization Name | WINBURN HOUSE |
| Practice Address |
1500 E Club Blvd Durham NC 27704-3404 |
| Mailing Address |
2415 Winburn Ave Durham NC 27704-5145 |
| Practice Telephone | 9192200021 |
| Practice Fax Number | 9192204555 |
| Mailing Telephone | 9192200021 |
| Mailing Fax Number | 9192204555 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2015-10-16 |
| Authorized Official Name | MRS. JUSTINE WIGGINS (CEO) |
| Authorized Official Telephone | 9192200021 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHP OF NC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1500 E CLUB BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184016636 | Athens Place | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 E Club Blvd, Durham, NC 27704-3404 | 2015-02-20 |
| 1649602079 | Sherman House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 E Club Blvd, Durham, NC 27704-3404 | 2013-08-08 |
| 1891127437 | Nixon House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 E Club Blvd, Durham, NC 27704-3404 | 2013-08-06 |
| 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 | 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 |
| 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 |
| 1265601223 | Mrs. Jennie's Place Community Enrichment Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 804 Cox Ave, Durham, NC 27701-4519 | 2008-02-25 |
| 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.