WALLTOWN COMMUNITY OUTREACH, INC. (NPI# 1659504488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659504488 |
| Entity Type | Organization |
| Organization Name | WALLTOWN COMMUNITY OUTREACH, INC. |
| Practice Address |
1119 Clarendon St Durham NC 27705-3511 |
| Mailing Address |
1305 West Blub Blvd Durham NC 27705-3511 |
| Practice Telephone | 9194255436 |
| Mailing Telephone | 9194255436 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | MR. WALDO NATHAN FENNER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9194255436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | NC | Agencies |
| Street Address |
1119 CLARENDON ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994695 | Francine Health Care Services Inc | Case Management | 2737 E Shoreham St, Durham, NC 27707-2959 | 2015-06-10 |
| 1477827962 | The Village-a Comprehensive Human Service Network | Case Management | 650 Ganyard Farm Way, Durham, NC 27703-6270 | 2012-02-29 |
| 1487963062 | Top Priority Care Services | Case Management | 4324 S Alston Ave, Ste 201, Durham, NC 27713-5296 | 2010-09-30 |
| 1295055341 | Lifes Journey Family Services Inc | Case Management | 923 Franklin St, Durham, NC 27701-4093 | 2010-06-10 |
| 1336475052 | Justus Ojwang, Lcsw | Case Management | 1530 N Gregson St Ste 2b, Durham, NC 27701-1164 | 2009-10-30 |
| 1639402936 | Clear and Confident Choices, LLC | Case Management | 3118 Skybrook Ln, Durham, NC 27703-5981 | 2009-09-18 |
| 1437305331 | Progressive Interventions, Inc. | Case Management | 800 N Mangum St, Suite 111b, Durham, NC 27701-2260 | 2008-08-11 |
| 1538325436 | Impact Community and Coordinated Services, LLC | Case Management | 2605 Carver St, Durham, NC 27705-2720 | 2008-07-31 |
| 1790953958 | A New Frontier | Case Management | 110 Hollow Oak Dr, Durham, NC 27713-9335 | 2008-02-11 |
| 1497937866 | Hashem Healthcare Services | Case Management | 2327 Englert Drive 206, Durham, NC 27713-4447 | 2007-11-28 |
| 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.