TLC ADULT GROUP HOME


Address: 401 Moline St, Durham, NC 27707-2347
Phone: 9199373437

TLC ADULT GROUP HOME (NPI# 1720234495) 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) 1720234495
Entity Type Organization
Organization Name TLC ADULT GROUP HOME
Practice Address 401 Moline St
Durham
NC 27707-2347
Mailing Address Po Box 11998
Durham
NC 27703-1998
Practice Telephone 9199373437
Mailing Telephone 9199373437
Enumeration Date 2008-08-13
Last Update Date 2013-07-17
Authorized Official Name MS. RENEE HAZELWOOD (ADMINISTRATOR)
Authorized Official Telephone 9199373437
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
MHL#032-441 NC Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801121140 Tlc Adult Group Home Clinic/Center 186 Pirate Cove Way, Hertford, NC 27944-9691 2009-10-05

Office Location

Street Address 401 MOLINE ST
City DURHAM
State NC
Zip Code 27707-2347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588086649 Q1 Clinical Consultants, LLC Community/Behavioral Health 401 Moline St, Durham, NC 27707-2347 2014-01-09

Providers in the same zip code

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 Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629677547 Julia Kaplinska, Phd, Pllc Clinic/Center 4908 Vistawood Way, Durham, NC 27713-8065 2020-10-21
1215444161 C. Patricia Hanley, Ph.d Pllc Clinic/Center 13 Jenkins Ct Ste 230, Durham, NH 03824-2324 2018-01-01
1093038994 Jones Health Services Inc. Clinic/Center 3811 Pickett Rd, Durham, NC 27705-5331 2010-03-05
1154644342 Roshaun's House of Care Clinic/Center 4012 Guess Rd, Durham, NC 27705-1510 2010-03-02
1194866608 Outreach Home # 4 Clinic/Center 3007 Dearborn Dr, Durham, NC 27704-2303 2007-02-08
1245371939 Destiny Home, Inc. Clinic/Center 630 Rippling Stream Rd, Durham, NC 27704-1233 2007-02-08
1245856780 Brightview Psychiatry Solutions Pllc Clinic/Center 2232 Page Rd Ste 101, Durham, NC 27703-7724 2020-06-21
1801429808 Cbt Institute of North Carolina Clinic/Center 1200 Broad St Ste 103, Durham, NC 27705-3576 2020-02-18
1659859205 Quantum Resources Consulting Clinic/Center 4411 Ben Franklin Blvd, Durham, NC 27704-2147 2018-08-04
1821536921 David F Naftolowitz Md PC Clinic/Center 112 Swift Ave, Durham, NC 27705-4883 2017-02-08
Find all providers in DURHAM

Competitor

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City DURHAM
Zip Code 27707

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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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