NELLIE'S ADULT CARE HOME (NPI# 1174898175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174898175 |
| Entity Type | Organization |
| Organization Name | NELLIE'S ADULT CARE HOME |
| Practice Address |
1202 Arnette Ave Durham NC 27707-1306 |
| Practice Telephone | 9196889703 |
| Practice Fax Number | 9194799055 |
| Mailing Telephone | 9196889703 |
| Mailing Fax Number | 9194799055 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | MR. DONALD EDWARD BROWN SR. (ADMINISTOR) |
| Authorized Official Telephone | 9199496019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | FCL032116 | NC | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | FCL032116 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922375872 | Nellie's Adult Care Home | Custodial Care Facility | 1202 Arnette Ave, Durham, NC 27707-1306 | 2011-11-21 |
| Street Address |
1202 ARNETTE AVE |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942345061 | Forest Hills Adult Care | Assisted Living Facility | 1202 Arnette Ave, Durham, NC 27707-1306 | 2007-02-20 |
| 1013443688 | Jones Family Homes, LLC | Custodial Care Facility | 1202 Arnette Ave, Durham, NC 27707-1306 | 2017-05-02 |
| 1922375872 | Nellie's Adult Care Home | Custodial Care Facility | 1202 Arnette Ave, Durham, NC 27707-1306 | 2011-11-21 |
| 1922327436 | Chestnut Manor-forest Hill | Assisted Living Facility | 1202 Arnette Ave, Durham, NC 27707-1306 | 2010-05-24 |
| 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 | 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 |
| 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 |
| 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.