NEW DESTINATIONS, INC. (NPI# 1164777603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164777603 |
| Entity Type | Organization |
| Organization Name | NEW DESTINATIONS, INC. |
| Practice Address |
1524 Southwood Dr Durham NC 27707-2114 |
| Mailing Address |
Po Box 287 Rutherford College NC 28671-0287 |
| Practice Telephone | 9199379018 |
| Practice Fax Number | 9199379024 |
| Mailing Telephone | 9197732706 |
| Mailing Fax Number | 9802250385 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2013-07-21 |
| Authorized Official Name | LARRY LEE LACKEY (DIRECTOR) |
| Authorized Official Telephone | 9197732706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568718393 | New Destinations, Inc. | Assisted Living Facility | 213 Broad St, Mount Airy, NC 27030-4685 | 2012-07-30 |
| 1093073850 | New Destinations, Inc. | Assisted Living Facility | 125 E Longview St, Chapel Hill, NC 27516-1728 | 2012-04-30 |
| 1376899104 | New Destinations, Inc. | Assisted Living Facility | 124 Oakpark Dr Unit J, Mooresville, NC 28115-7884 | 2012-07-30 |
| 1801141346 | New Destinations, Inc. | Custodial Care Facility | 404 S Claiborne St, Goldsboro, NC 27530-5310 | 2012-07-20 |
| 1891040333 | New Destinations, Inc. | Custodial Care Facility | 219 N Foushee St, Roxboro, NC 27573-5314 | 2012-07-20 |
| 1619222155 | New Destinations, Inc. | Community/Behavioral Health | 75 Crawford St, Marion, NC 28752-4853 | 2012-07-20 |
| 1639424179 | New Destinations, Inc. | Custodial Care Facility | 4710 Arbor Rd, Fayetteville, NC 28311-1603 | 2012-07-20 |
| 1366797805 | New Destinations, Inc. | Custodial Care Facility | 711 Brookdale Dr, Statesville, NC 28677-3405 | 2012-07-20 |
| 1346595881 | New Destinations, Inc. | Custodial Care Facility | 202 N Nash St, Hillsborough, NC 27278-2335 | 2012-07-20 |
| 1265787709 | New Destinations, Inc. | Custodial Care Facility | 409 Ebon Rd, Durham, NC 27713-1621 | 2012-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NEW DESTINATIONS, INC. | 237 Hidden Oaks Court, Dubuque, IA 52003 |
| Street Address |
1524 SOUTHWOOD DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114192259 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 1524 Southwood Dr, Durham, NC 27707-2114 | 2008-04-29 |
| 1821227489 | New Destinations, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1524 Southwood Dr, Durham, NC 27707-2114 | 2009-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093253478 | Tree of Life Transportation | Community Based Residential Treatment Facility, Mental Illness | 5067 Rainmaker Dr, Durham, NC 27704-2299 | 2017-02-06 |
| 1538421821 | Seven Oaks Family Care Home Inc | Community Based Residential Treatment Facility, Mental Illness | 234 Seven Oaks Rd, Durham, NC 27704-1125 | 2012-06-12 |
| 1164667036 | Anfo Children and Adult Services | Community Based Residential Treatment Facility, Mental Illness | 3604 Witherspoon Blvd, Suite 111, Pmb 233, Durham, NC 27707-6850 | 2008-12-08 |
| 1942445903 | Universal Care and Development | Community Based Residential Treatment Facility, Mental Illness | 910 Belvin Ave, Durham, NC 27704-3332 | 2008-12-04 |
| 1154589208 | The Mental Health Association In Nc, Inc | Community Based Residential Treatment Facility, Mental Illness | 708 Raynor St, Apt A-1, Durham, NC 27703-2239 | 2008-05-27 |
| 1922273960 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 409 Ebon Rd, Durham, NC 27713-1621 | 2008-04-29 |
| 1114192259 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 1524 Southwood Dr, Durham, NC 27707-2114 | 2008-04-29 |
| 1225207491 | Resources for Human Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 947 Clarion Dr, Durham, NC 27705-1730 | 2008-02-21 |
| 1508049107 | Removing Mountains | Community Based Residential Treatment Facility, Mental Illness | 1115 Chalk Level Road, Durham, NC 27704-1527 | 2007-12-06 |
| 1164611760 | New Horizon | Community Based Residential Treatment Facility, Mental Illness | 801 Lorain Ave, Durham, NC 27704-3023 | 2007-10-18 |
| 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.