JAMAAL LEATHERS


Address: 1011 Park Ave, Durham, NC 27701-3548
Phone: 9193816583

JAMAAL LEATHERS (NPI# 1649699588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649699588
Entity Type Organization
Organization Name JAMAAL LEATHERS
Other Organization Name MAGGIE'S HELPING HANDS
Practice Address 1011 Park Ave
Durham
NC 27701-3548
Practice Telephone 9193816583
Mailing Telephone 9193816583
Enumeration Date 2014-04-08
Last Update Date 2014-04-08
Authorized Official Name MR. JAMAAL LEE LEATHERS (ADMINISTRATOR)
Authorized Official Telephone 9194239236
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320700000X Residential Treatment Facility, Physical Disabilities FCL-032-132 NC Residential Treatment Facilities
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
FCL-032-132 NC Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Maggie's Helping Hands Doing Business As Name - Organization

Office Location

Street Address 1011 PARK AVE
City DURHAM
State NC
Zip Code 27701-3548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689078883 Maggie's Helping Hands Assisted Living Facility 1011 Park Ave, Durham, NC 27701-3548 2014-10-16
1720416043 Jamaal Lee Leathers Custodial Care Facility 1011 Park Ave, Durham, NC 27701-3548 2013-10-23

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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
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356975767 Cornerstone Community Service Custodial Care Facility 2220 Southgate St, Durham, NC 27703-2102 2020-02-24
1922570001 Idella Wright Homes,llc Custodial Care Facility 822 Midway Ave, Durham, NC 27703-5128 2018-12-29
1891201042 Little Family Care Home, LLC Custodial Care Facility 1012 Davinci Street, Durham, NC 27704 2017-12-26
1487190401 Pivotal Care Group Inc Custodial Care Facility 2905 Guess Rd, Suite 5, Durham, NC 27705-2677 2017-01-14
1831641604 Pp&v Health Care Solutions LLC Custodial Care Facility 4901 Paces Ferry Dr, Durham, NC 27712-4103 2016-10-27
1578915849 Tender Mercies II Custodial Care Facility 1005 Horton Rd, Durham, NC 27704-1609 2016-07-11
1245628197 Cjm Holdings LLC Custodial Care Facility 4111 Kismet Dr, Durham, NC 27705-2838 2014-12-30
1639575723 Supreme Family Care Home Custodial Care Facility 1120 Benning St, Durham, NC 27703-1504 2014-11-17
1346645868 Autumn's Way Care Home Custodial Care Facility 4811 Bay Point Dr, Durham, NC 27713-9413 2014-10-27
1245651843 M&l Family Care Custodial Care Facility 2124 Strebor Street, Durham, NC 27705-2756 2013-12-27
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Competitor

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City DURHAM
Zip Code 27701

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Dataset Information

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.

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